Provider Demographics
NPI:1811594450
Name:JESSICA HOOSON, LCSW, P.L.L.C.
Entity Type:Organization
Organization Name:JESSICA HOOSON, LCSW, P.L.L.C.
Other - Org Name:HUCKLEBERRY SOCIAL WORK SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:HOOSON
Authorized Official - Last Name:DIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-299-2861
Mailing Address - Street 1:1004 PLACID CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1188
Mailing Address - Country:US
Mailing Address - Phone:713-299-2861
Mailing Address - Fax:
Practice Address - Street 1:1004 PLACID CREEK CT
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1188
Practice Address - Country:US
Practice Address - Phone:713-299-2861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health