Healthcare Provider Details

I. General information

NPI: 1669060265
Provider Name (Legal Business Name): BETHANY ANNE SCHAEFER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 DENALI PASS STE 102
CEDAR PARK TX
78613-7979
US

IV. Provider business mailing address

507 DENALI PASS STE 102
CEDAR PARK TX
78613-7979
US

V. Phone/Fax

Practice location:
  • Phone: 512-591-8757
  • Fax:
Mailing address:
  • Phone: 512-591-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number79361
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: