Provider Demographics
NPI:1952168551
Name:RANSOM, TIERRA LA'SHUN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:TIERRA
Middle Name:LA'SHUN
Last Name:RANSOM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 CAMERON WAY
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4405
Mailing Address - Country:US
Mailing Address - Phone:214-215-3036
Mailing Address - Fax:
Practice Address - Street 1:13140 COIT R.
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5725
Practice Address - Country:US
Practice Address - Phone:469-480-9021
Practice Address - Fax:318-300-1149
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106937104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker