Provider Demographics
NPI:1548511918
Name:HOUENOU, TREAVER ANITALYNE (LPC, CRC LCAS)
Entity type:Individual
Prefix:MS
First Name:TREAVER
Middle Name:ANITALYNE
Last Name:HOUENOU
Suffix:
Gender:F
Credentials:LPC, CRC LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 SPANISH PEAK DR
Mailing Address - Street 2:3A
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-7943
Mailing Address - Country:US
Mailing Address - Phone:336-491-1971
Mailing Address - Fax:
Practice Address - Street 1:3710 SPANISH PEAK DR
Practice Address - Street 2:3A
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-7943
Practice Address - Country:US
Practice Address - Phone:336-491-1971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-26
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8436101YP2500X
NC2955101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)