MEDICARE: ANGELLE KEMYRA HARRIS MPA-MSW, LMSW

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
1	171M00000X	Case Manager/Care Coordinator	114328	TX
2	101Y00000X	Counselor
3	172V00000X	Community Health Worker	19899	TX
4	104100000X	Social Worker	114328	TX

General Provider Information

NPI Number	:	1861922148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELLE KEMYRA HARRIS MPA-MSW, LMSW

Provider Business Mailing Address
First Line	:	320 WESTWAY PL STE 530
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1000
Country	:	US
Telephone Number	:	817-516-9100
Fax Number	:	817-516-9102

Provider Business Practice Location Address
First Line	:	1880 S DAIRY ASHFORD RD STE 207
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-4759
Country	:	US
Telephone Number	:	832-409-7242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	02/06/2025

Similar Medicare Providers

1639985344 — SHYLONDA MILLER
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207
HOUSTON, TX
77077-4759

Practice Phone: 832-409-7242
Practice Fax:

1811424195 — PRAETORIAN RX LLC
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 106
HOUSTON, TX
77077-4759

Practice Phone: 303-524-5972
Practice Fax: 813-279-2728

1356983712 — COMPLETE BODYWORK AND WELLNESS PLLC
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 105
HOUSTON, TX
77077-4759

Practice Phone: 281-870-1233
Practice Fax: 281-870-1037

1467230326 — HAWKEHART ENTERPRISES LLC
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207
HOUSTON, TX
77077-4759

Practice Phone: 281-503-4530
Practice Fax:

1154190155 — MS. MYA RAHILA HASSAN CPT
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207
HOUSTON, TX
77077-4759

Practice Phone: 844-568-2747
Practice Fax:

1285494765 — OPTIMUM CARE LLC
Practice Location Address:

1880 S DAIRY ASHFORD RD STE 207
HOUSTON, TX
77077-4759

Practice Phone: 214-202-9640
Practice Fax:

Directions to “ ANGELLE KEMYRA HARRIS MPA-MSW, LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.