Provider Demographics
NPI:1528210341
Name:MENDEZ, ROSIE C (LPC, LCDC)
Entity Type:Individual
Prefix:MRS
First Name:ROSIE
Middle Name:C
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 CALVERT DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2306
Mailing Address - Country:US
Mailing Address - Phone:214-558-2417
Mailing Address - Fax:
Practice Address - Street 1:1206 CALVERT DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2306
Practice Address - Country:US
Practice Address - Phone:214-558-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60192101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor