Provider Demographics
NPI:1285423897
Name:MATTHEWS, JAZMINE (LPC)
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 BERRY CT
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0779
Mailing Address - Country:US
Mailing Address - Phone:816-718-0699
Mailing Address - Fax:
Practice Address - Street 1:2402 BERRY CT
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75126-0779
Practice Address - Country:US
Practice Address - Phone:469-887-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health