Mirror Me Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MIRROR ME THERAPY, LLC

Practice address

10301 Buffalo Speedway Apt 2122
Houston, TX 77054-2768

Phone

(936) 444-7430

NPI assigned

Apr 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyisha Renee Jones, MS, CCC-SLPNPI 1871933382

Title

Speech Language Pathologist

Phone

(936) 444-7430

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyisha R Jones

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1871933382
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1124600077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 BUFFALO SPEEDWAY APT 2122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542768",
            "telephone_number": "936-444-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 BUFFALO SPEEDWAY APT 2122",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542768",
            "telephone_number": "936-444-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR ME THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TYISHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "936-444-7430",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia L Mirghassemi, LPC
• Miguel V Miro-Quesada, M. D.
• Ramon E. Miro, M.D.
• Natalia Cristina Miroballi, MD
• Mani Mirpourian, DDS
• Dimitre Mirtchev, M.D.
• Deepika Sonali Miryala
• Mirza Tech LLC
• Alisa Juanelle Mirza, CRNA
• Ayesha Humayun Mirza

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.