Provider Demographics
NPI:1326767815
Name:JIMENEZ, MARGARITA (BS, MA)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8043 HIGH HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3751
Mailing Address - Country:US
Mailing Address - Phone:281-687-0288
Mailing Address - Fax:
Practice Address - Street 1:8043 HIGH HOLLOW LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3751
Practice Address - Country:US
Practice Address - Phone:281-687-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80260101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health