Provider Demographics
NPI:1194401000
Name:HEIM-JONES, TAWANDA SHANTELL (MS, LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:TAWANDA
Middle Name:SHANTELL
Last Name:HEIM-JONES
Suffix:
Gender:F
Credentials:MS, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2162 SPRING STUEBNER RD
Mailing Address - Street 2:SUITE 140 #3026
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389
Mailing Address - Country:US
Mailing Address - Phone:281-667-8215
Mailing Address - Fax:
Practice Address - Street 1:2162 SPRING STUEBNER RD STE 140
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5299
Practice Address - Country:US
Practice Address - Phone:281-667-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204765106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist