Provider Information for 1194401000
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TAWANDA SHANTELL HEIM-JONES MS, LMFT-Associate
Sex: Female
NPI: 1194401000
Last Updated: 2023-06-26
Certification Date: 2023-06-13
Certification Date: 2023-06-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194401000 | ||||||||
| Enumeration Date | 2023-06-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2162 SPRING STUEBNER RD SUITE 140 #3026 SPRING, TX 77389 United States Phone: 281-667-8215 | Fax: | ||||||||
| Primary Practice Address | 2162 SPRING STUEBNER RD STE 140 SPRING, TX 77389-5299 United States Phone: 281-667-8215 | Fax: | ||||||||
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