Provider Demographics
NPI:1598592164
Name:BILLINGTON, DIAMANTINA CARDONA (LCSW)
Entity type:Individual
Prefix:
First Name:DIAMANTINA
Middle Name:CARDONA
Last Name:BILLINGTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DIAMANTINA
Other - Middle Name:
Other - Last Name:CARDONA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:6715 WILDWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-4023
Mailing Address - Country:US
Mailing Address - Phone:281-650-9134
Mailing Address - Fax:
Practice Address - Street 1:6715 WILDWOOD WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-4023
Practice Address - Country:US
Practice Address - Phone:281-650-9134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX413111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical