Provider Demographics
NPI:1265244222
Name:HIX, JAMEY BE'ANNE MALONE
Entity type:Individual
Prefix:
First Name:JAMEY
Middle Name:BE'ANNE MALONE
Last Name:HIX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 COUNTY ROAD 427 APT 1301
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75704-6267
Mailing Address - Country:US
Mailing Address - Phone:469-499-6145
Mailing Address - Fax:
Practice Address - Street 1:3050 COUNTY ROAD 427 APT 1301
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75704-6267
Practice Address - Country:US
Practice Address - Phone:469-499-6145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97592101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional