Provider Demographics
NPI:1275826877
Name:SIERRA WELLNESS, INC.
Entity Type:Organization
Organization Name:SIERRA WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TWANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ESPREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-453-5354
Mailing Address - Street 1:5925 ALMEDA RD
Mailing Address - Street 2:#1005
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7602
Mailing Address - Country:US
Mailing Address - Phone:832-453-5354
Mailing Address - Fax:
Practice Address - Street 1:5925 ALMEDA RD
Practice Address - Street 2:#1005
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7602
Practice Address - Country:US
Practice Address - Phone:832-453-5354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty