Provider Demographics
NPI:1750762852
Name:JONES, BIANCA (PHD)
Entity type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321022
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77221-1022
Mailing Address - Country:US
Mailing Address - Phone:713-369-4342
Mailing Address - Fax:713-369-4342
Practice Address - Street 1:1770 SAINT JAMES PL STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3432
Practice Address - Country:US
Practice Address - Phone:713-369-4342
Practice Address - Fax:713-369-4342
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37113103T00000X
VA0810005220103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling