Provider Demographics
NPI:1679313803
Name:GREENHOUSE, JASMINE (LPC-A, NCC)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:GREENHOUSE
Suffix:
Gender:F
Credentials:LPC-A, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 WORLEY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1924
Mailing Address - Country:US
Mailing Address - Phone:832-945-8854
Mailing Address - Fax:
Practice Address - Street 1:3607 WORLEY DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-1924
Practice Address - Country:US
Practice Address - Phone:832-945-8854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94934101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional