Provider Demographics
NPI:1770479743
Name:TWELVE ROYAL GEMS WOMEN'S MENTAL HEALTH
Entity type:Organization
Organization Name:TWELVE ROYAL GEMS WOMEN'S MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:SELAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-425-3132
Mailing Address - Street 1:8407 RUSTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2742
Mailing Address - Country:US
Mailing Address - Phone:832-400-4363
Mailing Address - Fax:
Practice Address - Street 1:8407 RUSTWOOD CT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2742
Practice Address - Country:US
Practice Address - Phone:832-400-4363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty