Provider Demographics
NPI:1447029582
Name:CALVERT-MARTIN, VIRGINIA RENEE (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:RENEE
Last Name:CALVERT-MARTIN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24402 ARBOR LANDING LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3835
Mailing Address - Country:US
Mailing Address - Phone:832-628-9236
Mailing Address - Fax:
Practice Address - Street 1:24402 ARBOR LANDING LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3835
Practice Address - Country:US
Practice Address - Phone:832-628-9236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty