Provider Demographics
NPI:1528629201
Name:MUILI, HIIDOON GERALDINE (LMSW)
Entity type:Individual
Prefix:MS
First Name:HIIDOON
Middle Name:GERALDINE
Last Name:MUILI
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:PO BOX 16474
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-6474
Mailing Address - Country:US
Mailing Address - Phone:346-719-4371
Mailing Address - Fax:
Practice Address - Street 1:9950 WESTPARK DR STE 340
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5282
Practice Address - Country:US
Practice Address - Phone:346-719-4371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62184171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty