Healthcare Provider Details

I. General information

NPI: 1407458128
Provider Name (Legal Business Name): EMILY ABEL LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 BAGDAD RD STE 104
CEDAR PARK TX
78613-6501
US

IV. Provider business mailing address

1433 DEXFORD DR
AUSTIN TX
78753-1607
US

V. Phone/Fax

Practice location:
  • Phone: 737-443-9706
  • Fax:
Mailing address:
  • Phone: 737-443-9706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMILY ABEL
Title or Position: PSYCHOTHERAPIST/PRACTICE OWNER
Credential: LCSW
Phone: 737-443-9706