Provider Demographics
NPI:1780061606
Name:RAUSCH, ROBYN
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14707 PAYETTE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-2919
Mailing Address - Country:US
Mailing Address - Phone:575-825-1476
Mailing Address - Fax:
Practice Address - Street 1:16225 PARK TEN PL # 42
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5138
Practice Address - Country:US
Practice Address - Phone:713-338-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM81979339Medicaid