Provider Demographics
NPI:1790002673
Name:RIMMER-MAYORGA, DEBRA JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:RIMMER-MAYORGA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16515 CREEKSOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-2101
Mailing Address - Country:US
Mailing Address - Phone:713-298-5581
Mailing Address - Fax:
Practice Address - Street 1:16515 CREEKSOUTH RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2101
Practice Address - Country:US
Practice Address - Phone:713-298-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health