MEDICARE: GEOFFREY CLARK RYAN LCSW, LCDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15295	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CO37590616	CA
3	1041C0700X	Clinical Social Worker	67603	TX

General Provider Information

NPI Number	:	1942711825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEOFFREY CLARK RYAN LCSW, LCDC

Provider Business Mailing Address
First Line	:	3355 W ALABAMA ST STE 195
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1871
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 WEST ALABAMA STE 195
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1722
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:	281-648-2200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2017
Last Update Date	:	12/05/2025

Similar Medicare Providers

1891787065 — DR. RANDY R MITCHMORE D.D.S.
Practice Location Address:

1722 W ALABAMA ST
HOUSTON, TX
77098-2808

Practice Phone: 713-592-9300
Practice Fax: 713-529-8111

1457466831 — JEAN WILSON LOGAN LMFT
Practice Location Address:

3355 W ALABAMA ST , SUITE180
HOUSTON, TX
77098-1722

Practice Phone: 713-960-8949
Practice Fax:

1750489845 — DR. SARAH N GATUMU MD
Practice Location Address:

3355 W ALABAMA ST STE 195
HOUSTON, TX
77098-1722

Practice Phone: 832-595-6255
Practice Fax:

1114263902 — HAYLEY E. MAISLOS, MD, PA
Practice Location Address:

3355 W ALABAMA ST , SUITE 125
HOUSTON, TX
77098-1722

Practice Phone: 713-622-5432
Practice Fax:

1972146603 — MS. MARTINA GALLAGHER PMHNP-BC
Practice Location Address:

3355 W ALABAMA ST STE 195
HOUSTON, TX
77098-1722

Practice Phone: 844-824-8775
Practice Fax:

1801469291 — DR. LAVONYA MARIE BENNETT PH.D.
Practice Location Address:

3355 WEST ALABAMA STE 195
HOUSTON, TX
77098-1722

Practice Phone: 844-824-8775
Practice Fax: 281-648-2200

Directions to “ GEOFFREY CLARK RYAN LCSW, LCDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.