Provider Demographics
NPI:1144847492
Name:MUSANGA, MUSWEKI MARIE-THERESE (LMSW)
Entity type:Individual
Prefix:
First Name:MUSWEKI
Middle Name:MARIE-THERESE
Last Name:MUSANGA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WILCREST DR APT 2401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1147
Mailing Address - Country:US
Mailing Address - Phone:802-829-8167
Mailing Address - Fax:
Practice Address - Street 1:10333 HARWIN DR STE 490
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1532
Practice Address - Country:US
Practice Address - Phone:281-501-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62818104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker