Provider Demographics
NPI:1801560560
Name:SCHWARTZ, JENNIFER CONNELL (FNTP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CONNELL
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 YALE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6923
Mailing Address - Country:US
Mailing Address - Phone:646-263-4377
Mailing Address - Fax:
Practice Address - Street 1:1115 YALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-6923
Practice Address - Country:US
Practice Address - Phone:646-263-4377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TXFNTP629171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach