Provider Demographics
NPI:1710142187
Name:MANDEL, JOANNE DREYFUS (LMSW, RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:DREYFUS
Last Name:MANDEL
Suffix:
Gender:F
Credentials:LMSW, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10777 STELLA LINK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5639
Mailing Address - Country:US
Mailing Address - Phone:713-592-9292
Mailing Address - Fax:713-592-9296
Practice Address - Street 1:10777 STELLA LINK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5639
Practice Address - Country:US
Practice Address - Phone:713-592-9292
Practice Address - Fax:713-592-9296
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX127561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175712201Medicaid
TX175712201Medicaid
TX8A656AMedicare Oscar/Certification