Provider Demographics
NPI:1780228817
Name:JOSEPH, DIEULA C (LCDC, LMSW)
Entity Type:Individual
Prefix:
First Name:DIEULA
Middle Name:C
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LCDC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 CARTWRIGHT RD STE 304
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3539
Mailing Address - Country:US
Mailing Address - Phone:832-660-4498
Mailing Address - Fax:
Practice Address - Street 1:4501 CARTWRIGHT RD STE 304
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3539
Practice Address - Country:US
Practice Address - Phone:832-660-4498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13749101YA0400X
TX57899104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty