Provider Demographics
NPI:1043043920
Name:ST DENIS, TREVOR EWING (LPC-A, LCDC)
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:EWING
Last Name:ST DENIS
Suffix:
Gender:M
Credentials:LPC-A, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3833 CUMMINS ST APT 1424
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5885
Mailing Address - Country:US
Mailing Address - Phone:713-518-6241
Mailing Address - Fax:
Practice Address - Street 1:3833 CUMMINS ST APT 1424
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5885
Practice Address - Country:US
Practice Address - Phone:713-518-6241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional