Provider Demographics
NPI:1063675015
Name:RUSHING, QIANA JEANETTE (LPC, MBA, MARC)
Entity Type:Individual
Prefix:
First Name:QIANA
Middle Name:JEANETTE
Last Name:RUSHING
Suffix:
Gender:F
Credentials:LPC, MBA, MARC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 N WATSON RD STE 177
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6223
Mailing Address - Country:US
Mailing Address - Phone:682-288-7000
Mailing Address - Fax:
Practice Address - Street 1:1201 N WATSON RD STE 177
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6223
Practice Address - Country:US
Practice Address - Phone:682-288-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty