Healthcare Provider Details

I. General information

NPI: 1922875483
Provider Name (Legal Business Name): RENEE CAMPBELL MA, LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 E HIGHLAND MALL BLVD STE 115
AUSTIN TX
78752-3775
US

IV. Provider business mailing address

104 E HIGHLAND MALL BLVD STE 115
AUSTIN TX
78752-3775
US

V. Phone/Fax

Practice location:
  • Phone: 512-961-5575
  • Fax:
Mailing address:
  • Phone: 512-961-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number82278
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: