Provider Demographics
NPI:1124728993
Name:WEST, ROSALYN G (LPC)
Entity type:Individual
Prefix:
First Name:ROSALYN
Middle Name:G
Last Name:WEST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9387 FM 1960 BYPASS RD W APT 6301
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4484
Mailing Address - Country:US
Mailing Address - Phone:832-518-6233
Mailing Address - Fax:
Practice Address - Street 1:9387 FM 1960 BYPASS RD W APT 6301
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4484
Practice Address - Country:US
Practice Address - Phone:832-518-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88158101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health