Healthcare Provider Details

I. General information

NPI: 1790158731
Provider Name (Legal Business Name): STEVEN KRAMLICK LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2015
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CANYON LAKE CIR
LUMBERTON TX
77657-3701
US

IV. Provider business mailing address

105 CANYON LAKE CIR
LUMBERTON TX
77657-3701
US

V. Phone/Fax

Practice location:
  • Phone: 409-200-2220
  • Fax: 409-440-3344
Mailing address:
  • Phone: 409-200-2220
  • Fax: 409-440-3344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70904
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: