Healthcare Provider Details

I. General information

NPI: 1598679144
Provider Name (Legal Business Name): RAQUEL SAENZ-MATHEWS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4847 WILLIAMS DR STE 109
GEORGETOWN TX
78633-2420
US

IV. Provider business mailing address

104 RANIER RD
GATESVILLE TX
76528-3321
US

V. Phone/Fax

Practice location:
  • Phone: 737-284-3600
  • Fax:
Mailing address:
  • Phone: 254-223-8836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number94032
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: