Healthcare Provider Details

I. General information

NPI: 1477463628
Provider Name (Legal Business Name): AURA MARI DIGERONIMO-NEGRETE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1623 S STATE HIGHWAY 205
ROCKWALL TX
75032-6965
US

IV. Provider business mailing address

1623 S STATE HIGHWAY 205
ROCKWALL TX
75032-6965
US

V. Phone/Fax

Practice location:
  • Phone: 214-592-2993
  • Fax:
Mailing address:
  • Phone: 214-592-2993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91510
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: