Provider Demographics
NPI:1689552523
Name:ORTIZ-SOUZA, HEATHER MONET
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MONET
Last Name:ORTIZ-SOUZA
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 1:2300 MCCUE RD APT 354
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-4640
Mailing Address - Country:US
Mailing Address - Phone:832-296-3584
Mailing Address - Fax:
Practice Address - Street 1:5819 HIGHWAY 6 STE 360
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4070
Practice Address - Country:US
Practice Address - Phone:832-514-3863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician