Provider Demographics
NPI:1225869654
Name:BILAL, AISHAH (LCSW)
Entity type:Individual
Prefix:
First Name:AISHAH
Middle Name:
Last Name:BILAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 BOBTOWN RD APT 7106
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2857
Mailing Address - Country:US
Mailing Address - Phone:409-363-4799
Mailing Address - Fax:
Practice Address - Street 1:3429 BOBTOWN RD APT 7106
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2857
Practice Address - Country:US
Practice Address - Phone:409-363-4799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX610581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical