NPI Code Details Logo

NPI 1679015267

NPI 1679015267 : VIRGINIA PAPEN M.S., LPC, LCDC : FLOWER MOUND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679015267
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    VIRGINIA PAPEN M.S., LPC, LCDC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/14/2016
-----------------------------------------------------
    Last Update Date     |    04/05/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1807 HILL RIDGE DR 
-----------------------------------------------------
    City                 |    FLOWER MOUND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75028-7650
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-638-2066
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2208 WINSLOW CT 
-----------------------------------------------------
    City                 |    FLOWER MOUND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75028-4511
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-638-2066
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
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       |    76181
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    13681
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.