Provider Demographics
NPI:1669556833
Name:PACE, ROBERT R III (ED D, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:PACE
Suffix:III
Gender:M
Credentials:ED D, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2501 SAWYER DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3330
Mailing Address - Country:US
Mailing Address - Phone:281-480-3683
Mailing Address - Fax:281-286-0776
Practice Address - Street 1:17000 EL CAMINO REAL
Practice Address - Street 2:SUITE 105E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2636
Practice Address - Country:US
Practice Address - Phone:281-480-3683
Practice Address - Fax:281-286-0776
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6308101YA0400X
TX09198101YP2500X
TX3575106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist