Healthcare Provider Details

I. General information

NPI: 1730004805
Provider Name (Legal Business Name): RACHEL LEIGH HAMBUCHEN-QUIROZ LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 S SHERMAN ST STE 102103
RICHARDSON TX
75081-6514
US

IV. Provider business mailing address

1251 S SHERMAN ST STE 102103
RICHARDSON TX
75081-6514
US

V. Phone/Fax

Practice location:
  • Phone: 501-472-8006
  • Fax:
Mailing address:
  • Phone: 501-472-8006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number98587
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: