Provider Demographics
NPI:1730314295
Name:HUSS, ROSE L (MA, LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:L
Last Name:HUSS
Suffix:
Gender:F
Credentials:MA, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 REGENTS PARK DR.
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2541
Mailing Address - Country:US
Mailing Address - Phone:713-222-2525
Mailing Address - Fax:281-480-4815
Practice Address - Street 1:1335 REGENTS PARK DR.
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2541
Practice Address - Country:US
Practice Address - Phone:713-222-2525
Practice Address - Fax:281-480-4815
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4984106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2035073-01Medicaid
TX89192LOtherBC/BS