Provider Demographics
NPI:1164156147
Name:JONES, CAROLYN CLAYTON (MA LMFT LCDC, CEA)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:CLAYTON
Last Name:JONES
Suffix:
Gender:F
Credentials:MA LMFT LCDC, CEA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 56694
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77256
Mailing Address - Country:US
Mailing Address - Phone:832-978-7579
Mailing Address - Fax:
Practice Address - Street 1:ONE RIVERWAY 17TH FLOOR SUITE 1700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1997
Practice Address - Country:US
Practice Address - Phone:832-978-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLMFT2875302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization