Provider Demographics
NPI:1952160871
Name:GUERRERO, PORSCHA LAVETTE
Entity Type:Individual
Prefix:
First Name:PORSCHA
Middle Name:LAVETTE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8187 SANDS POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2762
Mailing Address - Country:US
Mailing Address - Phone:832-892-1544
Mailing Address - Fax:
Practice Address - Street 1:8187 SANDS POINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2762
Practice Address - Country:US
Practice Address - Phone:832-892-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician