Provider Demographics
NPI:1437821881
Name:KITCHEN, TAWANDA LEE (EDD, MS, BA)
Entity Type:Individual
Prefix:DR
First Name:TAWANDA
Middle Name:LEE
Last Name:KITCHEN
Suffix:
Gender:F
Credentials:EDD, MS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4706 MOUNT HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093-1631
Mailing Address - Country:US
Mailing Address - Phone:346-704-3560
Mailing Address - Fax:
Practice Address - Street 1:4706 MOUNT HOUSTON RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-1631
Practice Address - Country:US
Practice Address - Phone:346-704-3560
Practice Address - Fax:832-328-5642
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87028101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional