MEDICARE: TINA RENEE STRARUP 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
1	101Y00000X	Counselor	LPC 16715	TX
2	101YM0800X	Mental Health Counselor	LPC 16715	TX
3	101YP2500X	Professional Counselor	LPC 16715	TX

General Provider Information

NPI Number	:	1356408959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA RENEE STRARUP LPC

Provider Business Mailing Address
First Line	:	6915 LANGSTON DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-2219
Country	:	US
Telephone Number	:	512-625-5660
Fax Number	:	512-926-5072

Provider Business Practice Location Address
First Line	:	1518 W KOENIG LN
Second Line	:	STE 100
City	:	AUSTIN
State	:	TX
Zip	:	78756-1416
Country	:	US
Telephone Number	:	512-625-5660
Fax Number	:	512-926-5072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	09/11/2025

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Directions to “ TINA RENEE STRARUP LPC” Practice Location

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