Individual
DR. TAWANNA THIERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 E TRADITIONS CT, HOUSTON, TX 77082-3961
(713) 859-4958
(337) 513-8891
Mailing address
1019 MILL ST, LAKE CHARLES, LA 70601-4439
(713) 859-4958
(337) 513-8891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
1881368306
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1881368306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030483402
—
TX
Enumeration date
08/07/2021
Last updated
04/07/2025
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