Doctor Name: | MS. LAKEISHA HARRIS |
NPI Number: | 1518103381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 14918 Dogwood Tree St Houston, TX - 770605104 |
Business Phone Number: | 8322581340 |
Business Fax Number: | |
Mailing Address: | 5925 Kirby Dr, Ste E535 HOUSTON |
State: | TX |
Postal Code: | 770053150 |
Phone Number: | 8322581340 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |