Provider Demographics
NPI:1114741824
Name:JAYME C. THERAPY AND WELLNESS, PLLC
Entity type:Organization
Organization Name:JAYME C. THERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:936-237-6225
Mailing Address - Street 1:11607 SPRING CYPRESS RD STE E
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-8916
Mailing Address - Country:US
Mailing Address - Phone:936-209-8030
Mailing Address - Fax:
Practice Address - Street 1:11607 SPRING CYPRESS RD STE E
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-8916
Practice Address - Country:US
Practice Address - Phone:936-237-6225
Practice Address - Fax:936-209-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty