=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992310130
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DRICE AND ASSOCIATES,LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2020
-----------------------------------------------------
Last Update Date | 09/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 TAYLOR ST
-----------------------------------------------------
City | HUTTO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78634-4510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-820-1147
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8093 AREZZO DR
-----------------------------------------------------
City | ROUND ROCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78665-4529
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-573-0277
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LICENSED PROFESSIONAL COUNSELOR
-----------------------------------------------------
Name | LAWANDA EPTING
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 512-820-1147
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------