Healthcare Provider Details

I. General information

NPI: 1184025702
Provider Name (Legal Business Name): RITA GAYLE OLFERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7011 SOUTHWEST FWY
HOUSTON TX
77074-2007
US

IV. Provider business mailing address

7011 SOUTHWEST FWY
HOUSTON TX
77074-2007
US

V. Phone/Fax

Practice location:
  • Phone: 713-970-7000
  • Fax: 713-970-7246
Mailing address:
  • Phone: 713-970-7000
  • Fax: 713-970-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number64394
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: