Provider Demographics
NPI:1063259257
Name:ST. SAUVEUR, BEATRICE (LCSW, CCM)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:ST. SAUVEUR
Suffix:
Gender:F
Credentials:LCSW, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 N SAM HOUSTON PKWY E APT 4301
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-5130
Mailing Address - Country:US
Mailing Address - Phone:832-820-0894
Mailing Address - Fax:
Practice Address - Street 1:9300 N SAM HOUSTON PKWY E APT 4301
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-5130
Practice Address - Country:US
Practice Address - Phone:832-820-0894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X, 104100000X
TX1036231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker