Provider Demographics
NPI:1154339232
Name:ATKINSON, RENE (MED, LPC-S)
Entity type:Individual
Prefix:MR
First Name:RENE
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:MED, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 LAKEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1425
Mailing Address - Country:US
Mailing Address - Phone:956-459-3204
Mailing Address - Fax:956-504-6562
Practice Address - Street 1:38 LAKEVIEW LN
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1425
Practice Address - Country:US
Practice Address - Phone:956-459-3204
Practice Address - Fax:956-504-6562
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16262101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4187LCOtherBCBSTX
TX144503301Medicare ID - Type UnspecifiedPROFESSIONAL COUNSELOR