Healthcare Provider Details

I. General information

NPI: 1972149581
Provider Name (Legal Business Name): FADYA ALBAKRY LPC LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date: 11/03/2020
Reactivation Date: 11/12/2020

III. Provider practice location address

3300 BEE CAVES RD STE 650-183
WEST LAKE HILLS TX
78746-6600
US

IV. Provider business mailing address

3300 BEE CAVES RD STE 650-183
WEST LAKE HILLS TX
78746-6600
US

V. Phone/Fax

Practice location:
  • Phone: 512-589-5897
  • Fax: 816-239-8312
Mailing address:
  • Phone: 512-589-5897
  • Fax: 816-239-8312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number70192
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: