Healthcare Provider Details

I. General information

NPI: 1841129012
Provider Name (Legal Business Name): ROKAYAH BEAVERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MORGAN ST STE B
MOUNT PLEASANT TX
75455-5600
US

IV. Provider business mailing address

10902 KATY FWY APT 1107
HOUSTON TX
77043-4913
US

V. Phone/Fax

Practice location:
  • Phone: 903-563-5568
  • Fax: 877-415-3699
Mailing address:
  • Phone: 903-373-3572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105120
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: