Healthcare Provider Details

I. General information

NPI: 1053048033
Provider Name (Legal Business Name): OPAMEN PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2022
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11719 BEE CAVES RD STE 200
BEE CAVE TX
78738-5540
US

IV. Provider business mailing address

11719 BEE CAVES RD STE 200
BEE CAVE TX
78738-5540
US

V. Phone/Fax

Practice location:
  • Phone: 737-301-8668
  • Fax:
Mailing address:
  • Phone: 737-301-9007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA R OPAMEN
Title or Position: CLINIC DIRECTOR
Credential:
Phone: 512-630-0567