Provider Demographics
NPI:1780303503
Name:HUSSAINI, AYSHA (LCSW)
Entity type:Individual
Prefix:
First Name:AYSHA
Middle Name:
Last Name:HUSSAINI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AYSHA
Other - Middle Name:
Other - Last Name:HUSSAINI-STEWART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1345 SPACE PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3469
Mailing Address - Country:US
Mailing Address - Phone:281-333-2284
Mailing Address - Fax:281-333-0221
Practice Address - Street 1:12234 SHADOW CREEK PKWY STE 106
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7330
Practice Address - Country:US
Practice Address - Phone:346-206-3992
Practice Address - Fax:832-652-3626
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1035161041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103516OtherSOCIAL WORK LICENSE NUMBER