Healthcare Provider Details
I. General information
NPI: 1922011683
Provider Name (Legal Business Name): THERESA LYNN RIHA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/14/2006
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2002 HOLCOMBE BOULVEDARD 116HCHV
HOUSTON TX
77030
US
IV. Provider business mailing address
2002 HOLCOMBE BLVD
HOUSTON TX
77030-4211
US
V. Phone/Fax
- Phone: 713-794-7848
- Fax: 713-794-7929
- Phone: 713-794-8962
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | S27869 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: