LAKEISHA BRAZIEL - DAVIS LLC (NPI# 1538575162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538575162 |
| Entity Type | Organization |
| Organization Name | LAKEISHA BRAZIEL - DAVIS LLC |
| Other Organization Name | GREATWORKS |
| Practice Address |
2601 Pecos St Fort Worth TX 76119-5609 |
| Mailing Address |
321 Christie Ave Everman TX 76140-4520 |
| Practice Telephone | 8175352688 |
| Mailing Telephone | 8179868732 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | MRS. LAKEISHA N BRAZIEL-DAVIS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 8179868732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Greatworks | Doing Business As Name - Organization |
| Street Address |
2601 PECOS ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376922245 | Lakeisha Davis | Community Health Worker | 2601 Pecos St, Fort Worth, TX 76119-5609 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559422 | Cmac Counseling, Pllc | Community/Behavioral Health | 2100 N Main St Ste 20b, Fort Worth, TX 76164-8572 | 2020-05-11 |
| 1477191385 | Canary Ridge Counseling Pllc | Community/Behavioral Health | 2501 Parkview Dr Ste 316e, Fort Worth, TX 76102-5824 | 2019-12-11 |
| 1922640010 | Abundant Enteprise LLC | Community/Behavioral Health | 5545 Lawnsberry Dr, Fort Worth, TX 76137-4390 | 2019-10-10 |
| 1790347060 | Serenity Professional Counseling, Pllc | Community/Behavioral Health | 1701 River Run Ste 1020, Fort Worth, TX 76107-6556 | 2019-07-08 |
| 1326512039 | Creative Insight Counseling | Community/Behavioral Health | 3309 Winthrop Ave Ste 76, Fort Worth, TX 76116-5600 | 2019-01-15 |
| 1659882686 | A Beautiful Future, LLC | Community/Behavioral Health | 2721 Bilglade Rd, Fort Worth, TX 76133-1613 | 2017-10-17 |
| 1417480112 | Magrin Gifted Hands Services, LLC | Community/Behavioral Health | 11805 Indian Pony Way, Fort Worth, TX 76244-5298 | 2017-04-10 |
| 1720528524 | Tlc | Community/Behavioral Health | 8425 Hornbeam Dr, Fort Worth, TX 76123-5047 | 2017-02-28 |
| 1306381827 | Irma Mireles | Community/Behavioral Health | 9624 Mariner Cir, Apt 1206, Fort Worth, TX 76179-3210 | 2016-12-20 |
| 1760934145 | Cancer Care Services | Community/Behavioral Health | 623 S Henderson St, Fort Worth, TX 76104-2920 | 2016-11-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
Please comment or provide details below to improve the information on LAKEISHA BRAZIEL - DAVIS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.