Provider Demographics
NPI:1063756385
Name:TRIEU-KEELE, CHINH SI (PHD, LCSW, CCM)
Entity type:Individual
Prefix:MS
First Name:CHINH
Middle Name:SI
Last Name:TRIEU-KEELE
Suffix:
Gender:F
Credentials:PHD, LCSW, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SINGLETON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4467
Mailing Address - Country:US
Mailing Address - Phone:832-206-7612
Mailing Address - Fax:
Practice Address - Street 1:2600 GESSNER RD
Practice Address - Street 2:STE 280
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-3839
Practice Address - Country:US
Practice Address - Phone:713-468-6538
Practice Address - Fax:713-468-1042
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX542791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical