Healthcare Provider Details

I. General information

NPI: 1841754124
Provider Name (Legal Business Name): REBECCA DANIELLE HOGG MA, LPC, RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LAKESIDE BLVD # 145
RICHARDSON TX
75082-4341
US

IV. Provider business mailing address

120 E GRUBB DR, #852751
MESQUITE TX
75185-5130
US

V. Phone/Fax

Practice location:
  • Phone: 214-307-2340
  • Fax:
Mailing address:
  • Phone: 214-307-2340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number74625
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: