Provider Demographics
NPI:1336751510
Name:LEWSI, JAZMINE TROULLETTE
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:TROULLETTE
Last Name:LEWSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 SAWDUST RD STE F
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2366
Mailing Address - Country:US
Mailing Address - Phone:936-443-4752
Mailing Address - Fax:
Practice Address - Street 1:307 SAWDUST RD STE F
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2366
Practice Address - Country:US
Practice Address - Phone:936-443-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty