Healthcare Provider Details

I. General information

NPI: 1669797288
Provider Name (Legal Business Name): MISS JOY DAWSON I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12811 HUNTINGTON VENTURE DR
HOUSTON TX
77099-4407
US

IV. Provider business mailing address

12811 HUNTINGTON VENTURE DR
HOUSTON TX
77099-4407
US

V. Phone/Fax

Practice location:
  • Phone: 713-550-6943
  • Fax:
Mailing address:
  • Phone: 713-550-6943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: