Provider Demographics
NPI:1427873876
Name:CHEEMA, MINA KAUR (LMSW)
Entity type:Individual
Prefix:
First Name:MINA
Middle Name:KAUR
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3030
Mailing Address - Country:US
Mailing Address - Phone:713-820-2129
Mailing Address - Fax:
Practice Address - Street 1:24200 VIA MAZZINI WAY STE 250
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-3439
Practice Address - Country:US
Practice Address - Phone:832-906-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112065104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker