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NPI Code Detail

MEDICARE: JAMAICA LASHAUN AMPONSEM

MEDICARE: JAMAICA LASHAUN AMPONSEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerTX

General Provider Information

NPI Number : 1689539082
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMAICA LASHAUN AMPONSEM
Provider Business Mailing Address
First Line : 1404 CREEK ST
Second Line :
City : COPPERAS COVE
State : TX
Zip : 76522-4741
Country : US
Telephone Number : 254-415-5447
Fax Number :
Provider Business Practice Location Address
First Line : 362 DEVOE AVE UNIT 473
Second Line :
City : BRONX
State : NY
Zip : 10460-9448
Country : US
Telephone Number : 254-415-5447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ JAMAICA LASHAUN AMPONSEM ” Practice Location

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