Jackson-Umeh, Shonette Rena
Jackson-Umeh, Shonette Rena is an individual health care provider with primary practice located at 7306 Eden Crossing Ln , Richmond TX 77407-1574. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson-Umeh, Shonette Rena can be contacted via phone (832) 258-2808.Contact Information
Primary practice address
7306 Eden Crossing Ln
Richmond TX 77407-1574
Phone: (832) 258-2808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13653 | Texas |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 74628 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 74628 | Texas |
| Other Service Providers / Prevention Professional | 405300000X | 74628 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 74628 | Texas |
Profile Details
| NPI number | 1598289779 |
|---|---|
| LBN Legal business name | Jackson-Umeh, Shonette Rena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jul 26th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598289779 | NPPES |
| Texas | MEDICAID | 1528574282 |
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