Provider Demographics
NPI:1750903480
Name:JARMAN, REINESHA C (LCSW)
Entity type:Individual
Prefix:
First Name:REINESHA
Middle Name:C
Last Name:JARMAN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 BLUE MYRTLE WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75212-1599
Mailing Address - Country:US
Mailing Address - Phone:214-494-0166
Mailing Address - Fax:
Practice Address - Street 1:1666 N HAMPTON RD STE 103
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2390
Practice Address - Country:US
Practice Address - Phone:972-427-4332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2025-03-18
Deactivation Date:2025-02-20
Deactivation Code:
Reactivation Date:2025-03-18
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX1069881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program