Provider Demographics
NPI:1316652605
Name:HABEEB, JASMINE (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:HABEEB
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 N MACARTHUR BLVD UNIT 631651
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-4408
Mailing Address - Country:US
Mailing Address - Phone:722-756-5409
Mailing Address - Fax:
Practice Address - Street 1:950 E STATE HIGHWAY 114 STE 160-127
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-5240
Practice Address - Country:US
Practice Address - Phone:972-275-6540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health