Provider Demographics
NPI:1487175360
Name:MEMORIAL RELATIONSHIPS & COUPLES CENTER, PLLC.
Entity type:Organization
Organization Name:MEMORIAL RELATIONSHIPS & COUPLES CENTER, PLLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCIO
Authorized Official - Middle Name:J
Authorized Official - Last Name:THARP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC-S
Authorized Official - Phone:832-407-0487
Mailing Address - Street 1:955 DAIRY ASHFORD RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:832-407-0487
Mailing Address - Fax:832-243-4585
Practice Address - Street 1:955 DAIRY ASHFORD RD
Practice Address - Street 2:SUITE 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079
Practice Address - Country:US
Practice Address - Phone:832-407-0487
Practice Address - Fax:832-243-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65974106H00000X
TX201402101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty