Provider Demographics
NPI:1588149421
Name:AIT-CHALALET, ISABELLE (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:AIT-CHALALET
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 DIAMOND LEAF LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6105
Mailing Address - Country:US
Mailing Address - Phone:713-542-4871
Mailing Address - Fax:
Practice Address - Street 1:10497 TOWN AND COUNTRY WAY STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1135
Practice Address - Country:US
Practice Address - Phone:713-542-4871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68815101YP2500X
TX201920106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional