Provider Demographics
NPI:1861254427
Name:RUBIO, HEATHER RENEE (LMFT ASSOCIATE)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:RENEE
Last Name:RUBIO
Suffix:
Gender:F
Credentials:LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CAMELOT PLACE CT
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-5345
Mailing Address - Country:US
Mailing Address - Phone:936-446-6574
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR STE 8210
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1642
Practice Address - Country:US
Practice Address - Phone:832-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist