Healthcare Provider Details

I. General information

NPI: 1700654753
Provider Name (Legal Business Name): MVP COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E PECAN ST STE 300-184
PFLUGERVILLE TX
78660-8048
US

IV. Provider business mailing address

900 E PECAN ST STE 300-184
PFLUGERVILLE TX
78660-8048
US

V. Phone/Fax

Practice location:
  • Phone: 512-641-0363
  • Fax:
Mailing address:
  • Phone: 512-641-0363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VIRGINIA L CASTELAN
Title or Position: CO OWNER
Credential:
Phone: 512-944-4457