Search › Texas › 104100000X
Imani Rouse, LCDC INTERN
NPI 1073155982 · on the registry since 2019
Practice
- Address
- 6406 Highway 78 Ste 108
Sachse, TX 75048 - Phone
- (469) 584-9675
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas