Provider Demographics
NPI:1023657467
Name:CURRY, JAYSA MICHELE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JAYSA
Middle Name:MICHELE
Last Name:CURRY
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 1:1207 VERHALEN AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77039-1913
Mailing Address - Country:US
Mailing Address - Phone:832-474-4501
Mailing Address - Fax:
Practice Address - Street 1:1207 VERHALEN AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-1913
Practice Address - Country:US
Practice Address - Phone:832-474-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX639411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX63941OtherLICENSE MASTER SOCIAL WORK