Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 66710 | TX |
NPI | 1003116716 |
---|---|
Provider Name | Dauphine Lashawn Billingsley |
First Address | Missouri City, TX 77459-2613 |
Second Address | Houston, TX 77053-5058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2010 |
Last Update Date | 28/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2192809 | (05) | TX |