Provider Demographics
NPI:1598211518
Name:WINSTON, RAEMEKA (RSW)
Entity Type:Individual
Prefix:
First Name:RAEMEKA
Middle Name:
Last Name:WINSTON
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 WOODBURY MILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1654
Mailing Address - Country:US
Mailing Address - Phone:985-201-3677
Mailing Address - Fax:
Practice Address - Street 1:4906 WOODBURY MILL DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1654
Practice Address - Country:US
Practice Address - Phone:985-201-3677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker