Healthcare Provider Details

I. General information

NPI: 1477227106
Provider Name (Legal Business Name): EMILY ROSE BAREFIELD DAHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 OAKWOOD BLVD STE 100
ROUND ROCK TX
78681-4068
US

IV. Provider business mailing address

511 OAKWOOD BLVD STE 100
ROUND ROCK TX
78681-4068
US

V. Phone/Fax

Practice location:
  • Phone: 469-965-9783
  • Fax:
Mailing address:
  • Phone: 469-965-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number95046
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: