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NPI Code Detail

MEDICARE: MS. FALEASHA YAYAA DAWN NEVILS LCDC-I, MHPS, RSPS

MEDICARE: MS. FALEASHA YAYAA DAWN NEVILS LCDC-I, MHPS, RSPS
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
1175T00000XPeer SpecialistTX

General Provider Information

NPI Number : 1861326902
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FALEASHA YAYAA DAWN NEVILS LCDC-I, MHPS, RSPS
Provider Business Mailing Address
First Line : 6040 JEFFERSON BLVD
Second Line :
City : GROVES
State : TX
Zip : 77619-4747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2548 MEMORIAL BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2825
Country : US
Telephone Number : 409-984-8465
Fax Number : 409-982-0978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ MS. FALEASHA YAYAA DAWN NEVILS LCDC-I, MHPS, RSPS” Practice Location

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