Provider Demographics
NPI:1538932918
Name:RIGGINS, JOEY PERNELL (QMHP, MSAC, LCDC- I)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:PERNELL
Last Name:RIGGINS
Suffix:
Gender:M
Credentials:QMHP, MSAC, LCDC- I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 W MOCKINGBIRD LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-5028
Mailing Address - Country:US
Mailing Address - Phone:832-865-1180
Mailing Address - Fax:
Practice Address - Street 1:2100 TRAVIS ST STE 355
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2077
Practice Address - Country:US
Practice Address - Phone:972-489-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)