Healthcare Provider Details

I. General information

NPI: 1710813449
Provider Name (Legal Business Name): BIG SPRING PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 FENN ST
BIG SPRING TX
79720-3539
US

IV. Provider business mailing address

PO BOX 1205
BIG SPRING TX
79721-1205
US

V. Phone/Fax

Practice location:
  • Phone: 408-673-7028
  • Fax:
Mailing address:
  • Phone: 408-673-7028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD GEORGE RASULIS JR.
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 408-673-7028