Provider Demographics
NPI:1770768764
Name:FAUCETT, MARIBEL (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIBEL
Middle Name:
Last Name:FAUCETT
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 1:8105 RASOR BLVD STE 132
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0327
Mailing Address - Country:US
Mailing Address - Phone:956-212-2981
Mailing Address - Fax:
Practice Address - Street 1:8105 RASOR BLVD STE 132
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0327
Practice Address - Country:US
Practice Address - Phone:956-212-2981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61863101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188941201Medicaid
TX188941201Medicaid