Provider Demographics
NPI:1821469438
Name:THOMAS, JASMIN SAMARA (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:JASMIN
Middle Name:SAMARA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:JASMIN
Other - Middle Name:SAMARA
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, NCC
Mailing Address - Street 1:11200 RICHMOND AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3178
Mailing Address - Country:US
Mailing Address - Phone:929-399-3396
Mailing Address - Fax:
Practice Address - Street 1:11200 RICHMOND AVE STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3178
Practice Address - Country:US
Practice Address - Phone:929-399-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health