Provider Demographics
NPI:1952732356
Name:JONES, SHIRLEY
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:JONES
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 1:7447 HARWIN DR
Mailing Address - Street 2:SUITE 243G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2016
Mailing Address - Country:US
Mailing Address - Phone:832-212-1699
Mailing Address - Fax:281-342-0367
Practice Address - Street 1:7447 HARWIN DR
Practice Address - Street 2:SUITE 243G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2016
Practice Address - Country:US
Practice Address - Phone:832-212-1699
Practice Address - Fax:281-342-0367
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS136301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS13630OtherTEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS