Provider Demographics
NPI:1669603478
Name:CONSORTE, RACHEL ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:CONSORTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 TIMMONS LN
Mailing Address - Street 2:#122
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5352
Mailing Address - Country:US
Mailing Address - Phone:832-630-4743
Mailing Address - Fax:
Practice Address - Street 1:2829 TIMMONS LN
Practice Address - Street 2:#122
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5352
Practice Address - Country:US
Practice Address - Phone:832-630-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX338211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical