Provider Demographics
NPI:1770234387
Name:O'NEAL, TAIWANA M (LCSW)
Entity Type:Individual
Prefix:
First Name:TAIWANA
Middle Name:M
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TAIWANA
Other - Middle Name:MICHELLE
Other - Last Name:O'NEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:11807 WESTHEIMER RD STE 550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6790
Mailing Address - Country:US
Mailing Address - Phone:281-222-3884
Mailing Address - Fax:
Practice Address - Street 1:11807 WESTHEIMER RD STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6790
Practice Address - Country:US
Practice Address - Phone:832-617-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX376281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37628OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL