MEDICARE: LASHIRAH DASHAY SIMPSON

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
2	106S00000X	Behavior Technician	00021489	TX

General Provider Information

NPI Number	:	1770395642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHIRAH DASHAY SIMPSON

Provider Business Mailing Address
First Line	:	4603 CYPRESSWOOD DR APT J19
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-8341
Country	:	US
Telephone Number	:	708-737-2454
Fax Number	:

Provider Business Practice Location Address
First Line	:	4041 LAW ST APT 504
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1071
Country	:	US
Telephone Number	:	832-598-1342
Fax Number	:

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

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	05/08/2026

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Directions to “ LASHIRAH DASHAY SIMPSON ” Practice Location

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