Doctor Name: | MR. RONNY PIPES |
NPI Number: | 1104997352 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC-S |
License Number: | 012726 |
Business Practice Address: | 4913 Rufe Snow Dr Suite 101-c North Richland Hills, TX - 761807856 |
Business Phone Number: | 8176897887 |
Business Fax Number: | 2146480167 |
Mailing Address: | 13896 Maxwell Blvd, FORT WORTH |
State: | TX |
Postal Code: | 761799228 |
Phone Number: | 8176897887 |
Fax Number: | 2146480167 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 012726 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |