Provider Demographics
NPI:1003289026
Name:MORGAN-DAVIS, LAQUANA NANDRELL (BSW)
Entity Type:Individual
Prefix:MRS
First Name:LAQUANA
Middle Name:NANDRELL
Last Name:MORGAN-DAVIS
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:MRS
Other - First Name:LAQUANA
Other - Middle Name:NANDRELL
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW
Mailing Address - Street 1:4102 STAGHORN CORAL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-1714
Mailing Address - Country:US
Mailing Address - Phone:832-748-5941
Mailing Address - Fax:
Practice Address - Street 1:4102 STAGHORN CORAL LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-1714
Practice Address - Country:US
Practice Address - Phone:832-748-5941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator