Provider Demographics
NPI:1023616703
Name:LAWSON, TAMYRA NIKITA WARE (LCSW)
Entity type:Individual
Prefix:
First Name:TAMYRA
Middle Name:NIKITA WARE
Last Name:LAWSON
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 1:4000 S INDIGO DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5017
Mailing Address - Country:US
Mailing Address - Phone:832-998-7100
Mailing Address - Fax:
Practice Address - Street 1:801 TOWN AND COUNTRY BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4164
Practice Address - Country:US
Practice Address - Phone:832-998-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX563161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical