Provider Demographics
NPI:1992988489
Name:PARRA, RAFAEL ALBERTO (MS, LPC)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:ALBERTO
Last Name:PARRA
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20540 HIGHWAY 46 W # 115290
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6821
Mailing Address - Country:US
Mailing Address - Phone:210-219-4766
Mailing Address - Fax:888-920-1882
Practice Address - Street 1:20540 HIGHWAY 46 W # 115-290
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6821
Practice Address - Country:US
Practice Address - Phone:210-219-4766
Practice Address - Fax:888-920-1882
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61367101YM0800X, 101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional