Provider Demographics
NPI:1902017940
Name:SCHULTZ, JULISSA VILLARREAL (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JULISSA
Middle Name:VILLARREAL
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 E OVERDALE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4939
Mailing Address - Country:US
Mailing Address - Phone:281-692-9650
Mailing Address - Fax:
Practice Address - Street 1:5001 NAVIGATION BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-1019
Practice Address - Country:US
Practice Address - Phone:713-926-1849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38439104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker