=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073469912
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROSEATE THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1931 HUMBLE PLACE DR
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77338-5255
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-305-8188
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7544 FM 1960 RD E # 209
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77346-3127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-305-8188
-----------------------------------------------------
Fax | 281-305-8188
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER & THERAPIST
-----------------------------------------------------
Name | KIMBERLY HARKEY
-----------------------------------------------------
Credential | LPC-S
-----------------------------------------------------
Telephone | 281-305-8188
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------