Healthcare Provider Details

I. General information

NPI: 1871327635
Provider Name (Legal Business Name): MYRIHAEL DIGGS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MYRIHAEL FONTENOT LMSW

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10880 BARKER CYPRESS RD APT 8312
CYPRESS TX
77433-3072
US

IV. Provider business mailing address

10880 BARKER CYPRESS RD APT 8312
CYPRESS TX
77433-3072
US

V. Phone/Fax

Practice location:
  • Phone: 346-657-1125
  • Fax:
Mailing address:
  • Phone: 346-657-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number120486
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: