LAKE TRAVIS COUNSELING CONNECTION PLLC
NPI 1396209052
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lakeway, TX
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About LAKE TRAVIS COUNSELING CONNECTION PLLC
This page provides the complete NPI Profile along with additional information for Lake Travis Counseling Connection Pllc, a provider established in Lakeway, Texas operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1396209052 assigned on January 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Jan Shope Lpc-s (Owner/clinical Director)
- NPI
- 1396209052 Verify this NPI
- Provider Name
- LAKE TRAVIS COUNSELING CONNECTION PLLC
- Entity Type
- Organization
- Location Address
- 311 RANCH ROAD 620 S STE 105 LAKEWAY, TX 78734
- Location Phone
- (512) 263-4200
- Location Fax
- (512) 233-2867
- Mailing Address
- 311 RANCH ROAD 620 S STE 105 LAKEWAY, TX 78734
- Mailing Phone
- (512) 263-4200
- Mailing Fax
- (512) 233-2867
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-28-2019
- Last Update Date
- 01-28-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396209052, enumerated as an "organization" on January 28, 2019.
The provider is located at 311 RANCH ROAD 620 S STE 105 LAKEWAY, TX 78734 and the phone number is (512) 263-4200.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
