MEDICARE: LSV THERAPEUTIC SOLUTIONS INC.

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	101YP2500X	Professional Counselor	14819	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861628125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LSV THERAPEUTIC SOLUTIONS INC.

Provider Business Mailing Address
First Line	:	1825 FORTVIEW RD
Second Line	:	SUITE 112-A
City	:	AUSTIN
State	:	TX
Zip	:	78704-7657
Country	:	US
Telephone Number	:	512-693-7244
Fax Number	:	512-828-7759

Provider Business Practice Location Address
First Line	:	1825 FORTVIEW RD
Second Line	:	SUITE 112-A
City	:	AUSTIN
State	:	TX
Zip	:	78704-7657
Country	:	US
Telephone Number	:	512-693-7244
Fax Number	:	512-828-7759

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LINDA S VALSECA
Credential	:	LPC.,LCDC
Telephone Number	:	512-693-7244

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	06/01/2009

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