Provider Demographics
NPI:1982596987
Name:KEWENVOYOUMA, TASHINA
Entity type:Individual
Prefix:
First Name:TASHINA
Middle Name:
Last Name:KEWENVOYOUMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2342 STRONG HORSE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2280
Mailing Address - Country:US
Mailing Address - Phone:346-218-8026
Mailing Address - Fax:
Practice Address - Street 1:2342 STRONG HORSE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2280
Practice Address - Country:US
Practice Address - Phone:346-218-8026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator