Provider Demographics
NPI:1750128864
Name:HABIB, VALENTINA
Entity type:Individual
Prefix:MS
First Name:VALENTINA
Middle Name:
Last Name:HABIB
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 1:2100 TANGLEWILDE ST APT 732
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1270
Mailing Address - Country:US
Mailing Address - Phone:832-620-7028
Mailing Address - Fax:
Practice Address - Street 1:5718 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5745
Practice Address - Country:US
Practice Address - Phone:281-201-0657
Practice Address - Fax:281-336-0764
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108607104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker