Provider Demographics
NPI:1588020796
Name:BRISCOE, KANDI ROKEYSHA (LCSW-S)
Entity Type:Individual
Prefix:MRS
First Name:KANDI
Middle Name:ROKEYSHA
Last Name:BRISCOE
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4211
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-794-7803
Practice Address - Street 1:2908 SILHOUETTE BAY DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3470
Practice Address - Country:US
Practice Address - Phone:409-210-9717
Practice Address - Fax:409-220-0110
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-05
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX617781041C0700X, 171M00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator