Lakeisha Braziel - Davis LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAKEISHA BRAZIEL - DAVIS LLC

Doing business as

Greatworks

Practice address

2601 Pecos St
Fort Worth, TX 76119-5609

Phone

(817) 535-2688

NPI assigned

Jul 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lakeisha N Braziel-Davis

Title

Owner/Director

Phone

(817) 986-8732

Specialties & licenses 2

Addresses

Other names 1

• Greatworks Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakeisha Davis

  • Community Health Worker
  • Fort Worth, TX
  • NPI 1376922245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1538575162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CHRISTIE AVE",
            "city": "EVERMAN",
            "state": "TX",
            "postal_code": "761404520",
            "telephone_number": "817-986-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PECOS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195609",
            "telephone_number": "817-535-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEISHA BRAZIEL - DAVIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "BRAZIEL-DAVIS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "817-986-8732",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greatworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Worth Counseling
• Lake Worth Independent School District
• Lake Worth Investments Inc.
• Jeremy Michael Lake, PT
• Olivia Lake
• Lakes Dental FW PLLC
• Joyce N Laktari, PA-C
• Sonia Lal
• Harika Lala, D.D.S
• Michael Lalli, NNP

• Community/Behavioral Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.