Provider Demographics
NPI:1093291718
Name:DEMBY, JESSICA MOSLEY (LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MOSLEY
Last Name:DEMBY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 KIRBY DR STE 904
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3994
Mailing Address - Country:US
Mailing Address - Phone:832-484-2635
Mailing Address - Fax:832-202-2479
Practice Address - Street 1:THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Practice Address - Street 2:9401 SOUTHWEST FREEWAY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-970-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75779101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional