Provider Demographics
NPI:1760271480
Name:LAKE RAY HUBBARD COUNSELING, PLLC.
Entity type:Organization
Organization Name:LAKE RAY HUBBARD COUNSELING, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:FLORAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC - S
Authorized Official - Phone:972-693-4293
Mailing Address - Street 1:8001 LAKE BEND DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8910
Mailing Address - Country:US
Mailing Address - Phone:972-693-4293
Mailing Address - Fax:972-693-4293
Practice Address - Street 1:104 W KAUFMAN ST
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3032
Practice Address - Country:US
Practice Address - Phone:972-693-4293
Practice Address - Fax:972-692-5427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health