| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KANEISHA RENEE PERRY | 1710452131 | 2024-03-10 |
Kaneisha Renee Perry is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710452131. Registration indicates Kaneisha Renee Perry is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Kaneisha Renee Perry |
| Practice Office Address | 15703 LONGENBAUGH DR HOUSTON, TX US |
| Practice Office Telephone | 8324276530 |
| Mailing Address | 5434 PRINCETON DR KATY, TX 774931557 US |
| Business Telephone | 8328656792 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 87941
TX |
| 87941 | OTHER | TX | TBHEC (LICENSED |