Healthcare Provider Details

I. General information

NPI: 1184255895
Provider Name (Legal Business Name): TYNEA STARKS-RIGGLEMAN LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date: 02/12/2025
Reactivation Date: 02/27/2025

III. Provider practice location address

18551 CHAMPION FOREST DR STE 103
SPRING TX
77379-5582
US

IV. Provider business mailing address

17826 PUMPKIN VINE DR
HOCKLEY TX
77447-2358
US

V. Phone/Fax

Practice location:
  • Phone: 281-892-9986
  • Fax:
Mailing address:
  • Phone: 281-813-4636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number97846
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: