Provider Demographics
NPI:1699372128
Name:DAVIE, KAYLEEN (LMSW)
Entity type:Individual
Prefix:
First Name:KAYLEEN
Middle Name:
Last Name:DAVIE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31013 SUNFALL TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-7108
Mailing Address - Country:US
Mailing Address - Phone:713-725-7534
Mailing Address - Fax:
Practice Address - Street 1:1525 LAKEVILLE DR STE 114
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2068
Practice Address - Country:US
Practice Address - Phone:713-725-7534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX696741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical