Provider Demographics
NPI:1801533195
Name:REEVES, CAMILLE JANINE (LMSW)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:JANINE
Last Name:REEVES
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 1:3210 LOUISIANA ST APT 1209
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6626
Mailing Address - Country:US
Mailing Address - Phone:832-270-1736
Mailing Address - Fax:
Practice Address - Street 1:3210 LOUISIANA ST APT 1209
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6626
Practice Address - Country:US
Practice Address - Phone:832-270-1736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103329104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker