Healthcare Provider Details

I. General information

NPI: 1750209193
Provider Name (Legal Business Name): GINGER LEIGH FREEMAN M.ED., LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 RM 620 SOUTH
AUSTIN TX
78734
US

IV. Provider business mailing address

1401 S LAMAR BLVD UNIT 1530
AUSTIN TX
78704-2710
US

V. Phone/Fax

Practice location:
  • Phone: 512-263-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number100123
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: