Healthcare Provider Details

I. General information

NPI: 1720881931
Provider Name (Legal Business Name): REAGAN ASHLEY OHARE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5524 BEE CAVES RD STE H2
WEST LAKE HILLS TX
78746-5246
US

IV. Provider business mailing address

PO BOX 3041
MARBLE FALLS TX
78654-3077
US

V. Phone/Fax

Practice location:
  • Phone: 512-710-0551
  • Fax: 512-717-6337
Mailing address:
  • Phone: 512-710-0551
  • Fax: 512-717-6337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number91799
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number91799
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: