Provider Demographics
NPI:1093992471
Name:PJ ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PJ ASSOCIATES, INC.
Other - Org Name:PAMELA H. JONES, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:979-865-8608
Mailing Address - Street 1:1495 TRAVIS RD
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77418-6001
Mailing Address - Country:US
Mailing Address - Phone:979-865-8608
Mailing Address - Fax:979-865-8608
Practice Address - Street 1:1495 TRAVIS RD
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:TX
Practice Address - Zip Code:77418-6001
Practice Address - Country:US
Practice Address - Phone:979-865-8608
Practice Address - Fax:979-865-8608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty