Provider Demographics
NPI:1558771295
Name:TIMM, NAOMI LEIGH (LPC-INTERN)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:LEIGH
Last Name:TIMM
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24006 THISTLEGATE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7382
Mailing Address - Country:US
Mailing Address - Phone:713-878-8500
Mailing Address - Fax:936-242-6254
Practice Address - Street 1:401 N LOOP 336 W
Practice Address - Street 2:SUITE C
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1200
Practice Address - Country:US
Practice Address - Phone:713-878-8500
Practice Address - Fax:936-242-6254
Is Sole Proprietor?:No
Enumeration Date:2014-05-03
Last Update Date:2014-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor