Healthcare Provider Details

I. General information

NPI: 1306612668
Provider Name (Legal Business Name): COMPASSIONATE CARE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8302 MINNESOTA LN
AUSTIN TX
78745-6360
US

IV. Provider business mailing address

8302 MINNESOTA LN
AUSTIN TX
78745-6360
US

V. Phone/Fax

Practice location:
  • Phone: 512-656-2130
  • Fax:
Mailing address:
  • Phone: 512-656-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CINDY PEARSON GARCIA
Title or Position: OWNER
Credential: LPC
Phone: 512-656-2130