Provider Demographics
NPI:1003156787
Name:PERRY, JUANITA ANNETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:ANNETTE
Last Name:PERRY
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 1:10381 HUNTINGTON PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2302
Mailing Address - Country:US
Mailing Address - Phone:832-607-9770
Mailing Address - Fax:
Practice Address - Street 1:10381 HUNTINGTON PLACE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2302
Practice Address - Country:US
Practice Address - Phone:832-607-9770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX157501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical