My Own Space Therapy

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW005881 Issued in GA

Legal business name

MY OWN SPACE THERAPY

Practice address

10440 Deerwood Rd
1218
Houston, TX 77042-1135

Phone

(770) 756-6030

NPI assigned

Dec 1, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Hannah A. D. Kimbrough, LMSW

Title

Therapist

Phone

(770) 756-6030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1154796266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 DEERWOOD RD",
            "address_2": "1218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421135",
            "telephone_number": "770-756-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 DEERWOOD RD",
            "address_2": "1218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770421135",
            "telephone_number": "770-756-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OWN SPACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "A. D.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "770-756-6030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.