Provider Demographics
NPI:1043901150
Name:FAURIA, RENEE MARIE (EDD,LPC-S)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:MARIE
Last Name:FAURIA
Suffix:
Gender:F
Credentials:EDD,LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26410 OAK RIDGE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1965
Mailing Address - Country:US
Mailing Address - Phone:832-532-0129
Mailing Address - Fax:
Practice Address - Street 1:26410 OAK RIDGE DR STE 115
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1965
Practice Address - Country:US
Practice Address - Phone:832-532-0129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9174101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health