Healthcare Provider Details

I. General information

NPI: 1487575197
Provider Name (Legal Business Name): RENE MICHELE DEMAREE MA, LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N 6TH ST STE 600
WACO TX
76701-2041
US

IV. Provider business mailing address

506 KIOWA LN
ROBINSON TX
76706-5135
US

V. Phone/Fax

Practice location:
  • Phone: 817-716-2776
  • Fax:
Mailing address:
  • Phone: 817-716-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number99591
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number99591
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: