Provider Demographics
NPI:1194422360
Name:TALBOT, RENE (CRC, LPC)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:TALBOT
Suffix:
Gender:F
Credentials:CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9707 FALCON BAY
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2940
Mailing Address - Country:US
Mailing Address - Phone:941-549-0693
Mailing Address - Fax:
Practice Address - Street 1:9707 FALCON BAY
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2940
Practice Address - Country:US
Practice Address - Phone:941-549-0693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional