Imani N Rouse, LCDC INTERN is a
Social Worker based in Sachse, Texas. Imani N Rouse is licensed to practice in Texas (license number 107100) and her current practice location is
6406 Highway 78 Ste 108, Sachse, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 584-9675.
NPI number for Imani N Rouse is 1073155982 and her current mailing address is Po Box 3291, Wichita Falls, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073155982.
Healthcare Provider's Profile
| Full Name | Imani N Rouse |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 6406 Highway 78 Ste 108, Sachse, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073155982
- Provider Enumeration Date: 10/11/2019
- Last Update Date: 10/28/2022
Medical Identifiers
Medical identifiers for Imani N Rouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073155982 | NPI | - | NPPES |
| 000 | Other | TX | CASH PAY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Texas) | Secondary |
| 104100000X | Social Worker | 107100 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Imani N Rouse is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Imani N Rouse, LCDC INTERN
Po Box 3291,
Wichita Falls, TX 76301-0291
Ph: () - | Imani N Rouse, LCDC INTERN
6406 Highway 78 Ste 108,
Sachse, TX 75048-3276
Ph: (469) 584-9675 |
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