Provider Demographics
NPI:1710790936
Name:YOUNIS, MARY REBECKA BECKY (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:REBECKA BECKY
Last Name:YOUNIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:YOUNIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2901 CORPORATE CIR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5625
Mailing Address - Country:US
Mailing Address - Phone:469-768-2746
Mailing Address - Fax:
Practice Address - Street 1:4645 AVON LN STE 220
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1302
Practice Address - Country:US
Practice Address - Phone:469-768-2746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88882101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional