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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598289779 NPPES
Texas MEDICAID 1528574282

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