Provider Demographics
NPI:1366904369
Name:HARLESTON, LATRESCIA MICHELLE (DBA FOR SCHOOL TRANS)
Entity type:Individual
Prefix:
First Name:LATRESCIA
Middle Name:MICHELLE
Last Name:HARLESTON
Suffix:
Gender:F
Credentials:DBA FOR SCHOOL TRANS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14786
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-4786
Mailing Address - Country:US
Mailing Address - Phone:281-777-3779
Mailing Address - Fax:
Practice Address - Street 1:230 ATASCOCITA RD APT 527
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-3577
Practice Address - Country:US
Practice Address - Phone:281-777-3779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXKZJ1561347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle