Provider Demographics
NPI:1417669292
Name:ROVARIS, TINA H (LCSW)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:H
Last Name:ROVARIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E DAVIS ST STE 134
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-4588
Mailing Address - Country:US
Mailing Address - Phone:972-632-7015
Mailing Address - Fax:844-402-0972
Practice Address - Street 1:300 E DAVIS ST STE 134
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4588
Practice Address - Country:US
Practice Address - Phone:972-632-7015
Practice Address - Fax:844-402-0972
Is Sole Proprietor?:No
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX662241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical