Provider Demographics
NPI:1295182624
Name:HIXSON, REBECCA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:HIXSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 BRIARBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3124
Mailing Address - Country:US
Mailing Address - Phone:281-398-0022
Mailing Address - Fax:281-578-6622
Practice Address - Street 1:609 PARK GROVE LN
Practice Address - Street 2:UNIT B
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6190
Practice Address - Country:US
Practice Address - Phone:281-398-0022
Practice Address - Fax:281-578-6622
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional