Provider Demographics
NPI:1548002298
Name:DENNIS, MEIKA CHERNELLE (MA)
Entity type:Individual
Prefix:MS
First Name:MEIKA
Middle Name:CHERNELLE
Last Name:DENNIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26906 JASMINE BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5301
Mailing Address - Country:US
Mailing Address - Phone:713-794-6568
Mailing Address - Fax:
Practice Address - Street 1:9950 WESTPARK DR STE 304
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5199
Practice Address - Country:US
Practice Address - Phone:225-620-1193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90976101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health