Healthcare Provider Details

I. General information

NPI: 1548998701
Provider Name (Legal Business Name): HMCOUNSELOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 ROUND ROCK WEST DR STE 304
ROUND ROCK TX
78681-5030
US

IV. Provider business mailing address

1 CHISHOLM TRAIL RD STE 450
ROUND ROCK TX
78681-5094
US

V. Phone/Fax

Practice location:
  • Phone: 512-967-0931
  • Fax: 512-883-5024
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HEATH MUHAMMAD
Title or Position: CEO
Credential: LPC
Phone: 512-967-0931