Provider Demographics
NPI:1720018104
Name:AMOROSO, ROSEMARY (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:AMOROSO
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3560
Mailing Address - Country:US
Mailing Address - Phone:281-265-6006
Mailing Address - Fax:281-265-7867
Practice Address - Street 1:1 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3560
Practice Address - Country:US
Practice Address - Phone:281-265-6006
Practice Address - Fax:281-265-7867
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11604101YP2500X
TX003629106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760647552OtherTAX ID