Provider Demographics
NPI:1396079067
Name:RUMSEY, MARILYN JANE (LCSW, LPC, LMFT)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:JANE
Last Name:RUMSEY
Suffix:
Gender:F
Credentials:LCSW, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17723 SAN LUIS PASS RD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77554-8614
Mailing Address - Country:US
Mailing Address - Phone:940-696-6483
Mailing Address - Fax:426-940-1622
Practice Address - Street 1:17723 SAN LUIS PASS RD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77554-8614
Practice Address - Country:US
Practice Address - Phone:940-696-6483
Practice Address - Fax:425-940-1622
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1264-1000101YA0400X
TX1165101YP2500X
TX072841041C0700X
TX2191106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist