MEDICARE: ELDA NEGRETE LPC ASSOCIATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	101648	TX

General Provider Information

NPI Number	:	1023960697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELDA NEGRETE LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	11620 HERO WAY W STE 130-288
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-5974
Country	:	US
Telephone Number	:	512-522-3651
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 PORT DANIEL DR
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-3083
Country	:	US
Telephone Number	:	512-522-3651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ ELDA NEGRETE LPC ASSOCIATE” Practice Location

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