Provider Demographics
NPI:1255152815
Name:DEWSTOW, RACHAEL K
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:K
Last Name:DEWSTOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:K
Other - Last Name:BROOKOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9718 RATHBONE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-3118
Mailing Address - Country:US
Mailing Address - Phone:832-967-0200
Mailing Address - Fax:
Practice Address - Street 1:9718 RATHBONE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3118
Practice Address - Country:US
Practice Address - Phone:832-967-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009925372101YM0800X
TX112901101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health