=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295252070
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VIOLETTA ARANDA LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/23/2017
-----------------------------------------------------
Last Update Date | 08/24/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2410 E RIVERSIDE DR STE G3
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78741-3053
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-804-3040
-----------------------------------------------------
Fax | 512-323-9544
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1430 COLLIER ST
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78704-2911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-472-4357
-----------------------------------------------------
Fax | 512-709-1394
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 71864
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------