Provider Demographics
NPI:1255001962
Name:DAWN OF GRACE BEHAVIORAL HEALTH, PLLC
Entity Type:Organization
Organization Name:DAWN OF GRACE BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYE
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,PMHNP-BC,FNPC
Authorized Official - Phone:713-444-0704
Mailing Address - Street 1:15525 ATWOOD BAY TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0261
Mailing Address - Country:US
Mailing Address - Phone:713-444-0704
Mailing Address - Fax:281-256-6044
Practice Address - Street 1:12238 QUEENSTON BLVD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5351
Practice Address - Country:US
Practice Address - Phone:832-330-3245
Practice Address - Fax:281-256-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty