Provider Demographics
NPI:1407741879
Name:TIMMONS, FREDA S (MHA)
Entity type:Individual
Prefix:
First Name:FREDA
Middle Name:S
Last Name:TIMMONS
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 STAFFORDALE MANOR LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4497
Mailing Address - Country:US
Mailing Address - Phone:832-239-2075
Mailing Address - Fax:
Practice Address - Street 1:818 STAFFORDALE MANOR LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-4497
Practice Address - Country:US
Practice Address - Phone:832-239-2075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health