Provider Demographics
NPI:1194605733
Name:COSSE, DOMANI DAVAN (BSW, MSW)
Entity type:Individual
Prefix:
First Name:DOMANI
Middle Name:DAVAN
Last Name:COSSE
Suffix:
Gender:F
Credentials:BSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13802 NAPOLI DR APT 2102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-2898
Mailing Address - Country:US
Mailing Address - Phone:504-358-9171
Mailing Address - Fax:
Practice Address - Street 1:13802 NAPOLI DR APT 2102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2898
Practice Address - Country:US
Practice Address - Phone:504-358-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)