=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881355998
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHELLE FRANCES JONES LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2022
-----------------------------------------------------
Last Update Date | 05/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5373 W ALABAMA ST STE 532
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77056-5930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-516-5512
-----------------------------------------------------
Fax | 281-626-0848
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5373 W ALABAMA ST STE 532
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77056-5930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-516-5512
-----------------------------------------------------
Fax | 281-626-0848
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 82994
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------