Provider Demographics
NPI:1598395576
Name:RAY, REBECCA (LMFT ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12238 QUEENSTON BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5351
Mailing Address - Country:US
Mailing Address - Phone:281-766-3376
Mailing Address - Fax:832-336-3891
Practice Address - Street 1:12238 QUEENSTON BLVD STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5351
Practice Address - Country:US
Practice Address - Phone:281-766-3376
Practice Address - Fax:832-336-3891
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-18
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203666106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist