Provider Demographics
NPI:1710790944
Name:SUAREZ, ALYSSA NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:NICOLE
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5415 LAWNDALE ST # 9045
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3700
Mailing Address - Country:US
Mailing Address - Phone:832-880-7682
Mailing Address - Fax:
Practice Address - Street 1:5415 LAWNDALE STREET
Practice Address - Street 2:#9045
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3700
Practice Address - Country:US
Practice Address - Phone:832-880-7682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1071871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical