Healthcare Provider Details

I. General information

NPI: 1639284029
Provider Name (Legal Business Name): KIMETRE R REECE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. KIMETRE R HOPKINS

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4513 ORONO SUMMIT TRL
ROSHARON TX
77583-1954
US

IV. Provider business mailing address

4513 ORONO SUMMIT TRL
ROSHARON TX
77583-1954
US

V. Phone/Fax

Practice location:
  • Phone: 713-417-4672
  • Fax:
Mailing address:
  • Phone: 713-417-4672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number200773
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19064
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: