Provider Demographics
NPI:1861200479
Name:JOO, HYEYOON NIKI
Entity type:Individual
Prefix:
First Name:HYEYOON
Middle Name:NIKI
Last Name:JOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8233 SOUTHWESTERN BLVD APT 1036
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2153
Mailing Address - Country:US
Mailing Address - Phone:972-533-1300
Mailing Address - Fax:
Practice Address - Street 1:8233 SOUTHWESTERN BLVD APT 1036
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-2153
Practice Address - Country:US
Practice Address - Phone:972-533-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker