MEDICARE: HEATHER ELLEN CARRILLO 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	101YM0800X	Mental Health Counselor	87435	TX

General Provider Information

NPI Number	:	1689329013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ELLEN CARRILLO LPC

Provider Business Mailing Address
First Line	:	11733 RED OAK VALLEY LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-2406
Country	:	US
Telephone Number	:	720-371-4268
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 WILD BASIN RD STE 2B
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-3304
Country	:	US
Telephone Number	:	512-402-2230
Fax Number	:

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

Provider Enumeration Date	:	02/14/2022
Last Update Date	:	06/18/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1619100658 — INFINITY WELLNESS CENTER
Practice Location Address:

205 WILD BASIN RD STE 2B
WEST LAKE HILLS, TX
78746-3304

Practice Phone: 512-328-0505
Practice Fax:

1164764312 — MISS RITA MADDALENA CASTRIOTTA D.C.
Practice Location Address:

205 WILD BASIN RD STE 2B
WEST LAKE HILLS, TX
78746-3304

Practice Phone: 512-328-0505
Practice Fax:

1760819346 — KATIE WINER MA, LPC
Practice Location Address:

205 WILD BASIN RD STE 2B
WEST LAKE HILLS, TX
78746-3304

Practice Phone: 512-650-8118
Practice Fax: 512-582-8431

1053730259 — COX CHIROPRACTIC
Practice Location Address:

205 WILD BASIN RD STE 2B
WEST LAKE HILLS, TX
78746-3304

Practice Phone: 512-822-1853
Practice Fax:

1184560807 — LUKE CHO
Practice Location Address:

6621 BERQUIST AVE
WEST HILLS, CA
91307-3304

Practice Phone: 682-241-4586
Practice Fax:

Directions to “ HEATHER ELLEN CARRILLO LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.