Provider Demographics
NPI:1750449559
Name:GITTESS, MARA RUTH (MA LPC)
Entity Type:Individual
Prefix:
First Name:MARA
Middle Name:RUTH
Last Name:GITTESS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 BISSONNET
Mailing Address - Street 2:SUITE 282
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005
Mailing Address - Country:US
Mailing Address - Phone:713-666-1354
Mailing Address - Fax:713-666-9057
Practice Address - Street 1:3400 BISSONNET
Practice Address - Street 2:SUITE 282
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005
Practice Address - Country:US
Practice Address - Phone:713-666-1354
Practice Address - Fax:713-666-9057
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18283103T00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist