Provider Demographics
NPI:1073286209
Name:RASCO, DANNYELL HARRIS (MS)
Entity Type:Individual
Prefix:
First Name:DANNYELL
Middle Name:HARRIS
Last Name:RASCO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:DANNYELL
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 PRESCOTT BLVD APT 714
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-6616
Mailing Address - Country:US
Mailing Address - Phone:281-736-4520
Mailing Address - Fax:
Practice Address - Street 1:100 ASMA BLVD # 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3858
Practice Address - Country:US
Practice Address - Phone:337-456-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator