Individual provider · Type 1 NPI

Destiny Bourgeois, LPC

Professional Counselor · Richmond, TX

NPI number 1205480712 Active

Practice location

2116 Thompson Rd Ste 107
Richmond, TX 77469-5415

Call (832) 471-6538 Map

Fax (832) 471-6544

Mailing address

7434 French Quarter Ct
Fulshear, TX 77441-2258

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-18-53088 (TX)
Mental Health Counselor 101YM0800X86436 (TX)
Professional Counselor Primary 101YP2500X86436 (TX)

Professional Counselor: Definition to come...

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About NPI 1205480712

Destiny Bourgeois, LPC's National Provider Identifier is 1205480712, issued on Aug 1, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, TX. The record was last updated on Feb 24, 2023.