Provider Demographics
NPI:1558919340
Name:SHAHID, UZMA (LCDC-CI)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:SHAHID
Suffix:
Gender:F
Credentials:LCDC-CI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 GULFTON ST APT 2816
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2529
Mailing Address - Country:US
Mailing Address - Phone:832-998-5676
Mailing Address - Fax:
Practice Address - Street 1:5314 DASHWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4603
Practice Address - Country:US
Practice Address - Phone:713-600-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43089101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)