Provider Demographics
NPI:1164110458
Name:KHWEIS, JUMAN Z (LMFT-A)
Entity Type:Individual
Prefix:
First Name:JUMAN
Middle Name:Z
Last Name:KHWEIS
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 EMERLING DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1452
Mailing Address - Country:US
Mailing Address - Phone:202-213-7784
Mailing Address - Fax:
Practice Address - Street 1:550 S WATTERS RD STE 239
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5229
Practice Address - Country:US
Practice Address - Phone:214-778-2836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204897106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist