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NPI Code Detail

MEDICARE: DENALIPATH THERAPY PLLC

MEDICARE: DENALIPATH THERAPY PLLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184572547
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENALIPATH THERAPY PLLC
Provider Business Mailing Address
First Line : 13127 NEW BOSTON BND
Second Line :
City : AUSTIN
State : TX
Zip : 78729-7534
Country : US
Telephone Number : 512-375-4090
Fax Number : 567-483-2787
Provider Business Practice Location Address
First Line : 13127 NEW BOSTON BND
Second Line :
City : AUSTIN
State : TX
Zip : 78729-7534
Country : US
Telephone Number : 512-375-4090
Fax Number : 567-483-2787
Authorized Official
Title or Position : OWNER
Name : TANIA PRATT
Credential : LPC
Telephone Number : 512-375-4090
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “DENALIPATH THERAPY PLLC ” Practice Location

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