Provider Demographics
NPI:1093305872
Name:HIGHTOWER, LENORA RENEE
Entity Type:Individual
Prefix:
First Name:LENORA
Middle Name:RENEE
Last Name:HIGHTOWER
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 1:1826 GROVE COURT DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4065
Mailing Address - Country:US
Mailing Address - Phone:832-282-6369
Mailing Address - Fax:
Practice Address - Street 1:1730 WILLIAMS TRACE BLVD STE H
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4055
Practice Address - Country:US
Practice Address - Phone:281-978-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-152052106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician