Provider Demographics
NPI:1376134619
Name:BIRE, SENAIT M (CAREGIVER)
Entity Type:Individual
Prefix:
First Name:SENAIT
Middle Name:M
Last Name:BIRE
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:SENIAT
Other - Middle Name:M
Other - Last Name:BIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:411 RAWHIDE WAY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-1090
Mailing Address - Country:US
Mailing Address - Phone:202-459-3256
Mailing Address - Fax:
Practice Address - Street 1:411 RAWHIDE WAY
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-1090
Practice Address - Country:US
Practice Address - Phone:202-459-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker