Provider Demographics
NPI:1932388022
Name:GEORGE, RHONDA MARIE (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:MARIE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 HURLEY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-2229
Mailing Address - Country:US
Mailing Address - Phone:713-304-1645
Mailing Address - Fax:713-528-2618
Practice Address - Street 1:3316 MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-3829
Practice Address - Country:US
Practice Address - Phone:713-304-1645
Practice Address - Fax:713-528-2618
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5029106H00000X, 101YM0800X
TX17030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145293001Medicaid