MEDICARE: EDUARDO SANCHEZ BETANCES LPC, LCDC-I

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	82482	TX

General Provider Information

NPI Number	:	1720952419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO SANCHEZ BETANCES LPC, LCDC-I

Provider Business Mailing Address
First Line	:	2423 WILLIAMS DR STE 107
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-3269
Country	:	US
Telephone Number	:	877-800-5722
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 WOODHUE DR BLDG B
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-5454
Country	:	US
Telephone Number	:	877-800-5722
Fax Number	:

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

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	12/10/2025

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