Healthcare Provider Details

I. General information

NPI: 1639427461
Provider Name (Legal Business Name): HRC COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 08/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 EAST MAIN ST
KERRVILLE TX
78028-3530
US

IV. Provider business mailing address

PO BOX 366
BOERNE TX
78006-0366
US

V. Phone/Fax

Practice location:
  • Phone: 830-370-9329
  • Fax: 830-331-4050
Mailing address:
  • Phone: 830-370-9329
  • Fax: 830-331-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number201300
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number64720
License Number StateTX

VIII. Authorized Official

Name: MRS. HEIDI RENEE CONLIN
Title or Position: PRESIDENT
Credential: MS, LPC, LMFT
Phone: 830-370-9329