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NPI Code Detail

MEDICARE: KATY VAN DER MERWE LPC

MEDICARE: KATY VAN DER MERWE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor92388TX

General Provider Information

NPI Number : 1144199761
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATY VAN DER MERWE LPC
Provider Business Mailing Address
First Line : 9804 SALEM WAY UNIT A
Second Line :
City : WACO
State : TX
Zip : 76708-6184
Country : US
Telephone Number : 940-577-3114
Fax Number :
Provider Business Practice Location Address
First Line : 510 N VALLEY MILLS DR STE 304
Second Line :
City : WACO
State : TX
Zip : 76710-6076
Country : US
Telephone Number : 254-262-3506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 03/16/2026

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Directions to “ KATY VAN DER MERWE LPC” Practice Location

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