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DEANDREA MICHELLE DOUGLAS JST NPI 1952902686


NPI Information

NPI: 1952902686
Provider Name: DEANDREA MICHELLE DOUGLAS, JST
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Individual
Address:
239 W TIDWELL RD STE F1
HOUSTON, TX
ZIP 77022
Phone: (281) 248-6109
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Deandrea Michelle Douglas, JST is a day training developmentally disabled services in Houston, TX. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. Deandrea Michelle Douglas, JST NPI is 1952902686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

239 W TIDWELL RD STE F1
HOUSTON, TX
ZIP 77022-528
Phone: (281) 248-6109

The enumeration date for this NPI number is 11/9/2020 and was last updated on 11/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesDDOUGL73TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DDOUGL73OTHERTEXASUNT WISE VOCATIONAL SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.