Provider Demographics
NPI:1144021767
Name:MORAN, REBECCA (MS, LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MORAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:BARLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:140 HEIMER RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5032
Mailing Address - Country:US
Mailing Address - Phone:210-701-0230
Mailing Address - Fax:
Practice Address - Street 1:140 HEIMER RD STE 400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5032
Practice Address - Country:US
Practice Address - Phone:817-455-8097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89108OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL