Provider Demographics
NPI:1447977590
Name:CALHOUN, BREYEH (LMSW)
Entity type:Individual
Prefix:
First Name:BREYEH
Middle Name:
Last Name:CALHOUN
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 1:2001 ROSS AVE STE 700-159
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2911
Mailing Address - Country:US
Mailing Address - Phone:214-402-1208
Mailing Address - Fax:
Practice Address - Street 1:2001 ROSS AVE STE 700-159
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-2911
Practice Address - Country:US
Practice Address - Phone:214-402-1208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103886104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker