Provider Demographics
NPI:1801431267
Name:CAROTHERS, RORY (LPC)
Entity type:Individual
Prefix:MR
First Name:RORY
Middle Name:
Last Name:CAROTHERS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 COLLEGE ST STE D185
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-3445
Mailing Address - Country:US
Mailing Address - Phone:409-550-1846
Mailing Address - Fax:409-403-8432
Practice Address - Street 1:6120 COLLEGE ST STE D185
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-3445
Practice Address - Country:US
Practice Address - Phone:409-550-1846
Practice Address - Fax:409-403-8432
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health