Provider Demographics
NPI:1265603625
Name:JEFFERSON CONSULTANTS, INC.
Entity type:Organization
Organization Name:JEFFERSON CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEVOID
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-271-1822
Mailing Address - Street 1:7011 BISSONNET ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-6066
Mailing Address - Country:US
Mailing Address - Phone:713-271-1822
Mailing Address - Fax:713-777-5957
Practice Address - Street 1:7011 BISSONNET ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-6066
Practice Address - Country:US
Practice Address - Phone:713-271-1822
Practice Address - Fax:713-777-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5857101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty