Provider Demographics
NPI:1174863955
Name:WALTERS, JHERI (LCSW-S)
Entity Type:Individual
Prefix:MRS
First Name:JHERI
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:JHERI
Other - Middle Name:
Other - Last Name:BASHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24044 CINCO VILLAGE CENTER BLVD
Mailing Address - Street 2:STE 100 PMB 29
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1608
Mailing Address - Country:US
Mailing Address - Phone:346-787-0767
Mailing Address - Fax:
Practice Address - Street 1:24044 CINCO VILLAGE CENTER BLVD
Practice Address - Street 2:STE 100 PMB 29
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1608
Practice Address - Country:US
Practice Address - Phone:346-787-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX529531041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical