Healthcare Provider Details

I. General information

NPI: 1417896127
Provider Name (Legal Business Name): UNDER PRESCHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 W 2ND ST
WALNUT SPRINGS TX
76690-4502
US

IV. Provider business mailing address

PO BOX 21
WALNUT SPRINGS TX
76690-0021
US

V. Phone/Fax

Practice location:
  • Phone: 832-998-6042
  • Fax:
Mailing address:
  • Phone: 832-998-6042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: WILSDARYON PRESCHER
Title or Position: FOUNDER
Credential: LMSW
Phone: 254-824-8338