Provider Demographics
NPI:1962785394
Name:CHEEVERS, CAROLINE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:CHEEVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13609 STARWREATH DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3784
Mailing Address - Country:US
Mailing Address - Phone:832-285-2995
Mailing Address - Fax:832-645-3323
Practice Address - Street 1:13609 STARWREATH DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3784
Practice Address - Country:US
Practice Address - Phone:832-285-2995
Practice Address - Fax:832-645-3323
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management