MEDICARE: RURAL TEXAS PSYCHOEDUCATIONAL SERVICES, PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1104629062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL TEXAS PSYCHOEDUCATIONAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	10434 US HIGHWAY 181 S # 473
Second Line	:
City	:	FALLS CITY
State	:	TX
Zip	:	78113-3000
Country	:	US
Telephone Number	:	830-583-4426
Fax Number	:

Provider Business Practice Location Address
First Line	:	10434 US HIGHWAY 181 S # 473
Second Line	:
City	:	FALLS CITY
State	:	TX
Zip	:	78113-3000
Country	:	US
Telephone Number	:	830-583-4426
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAULA A LYSSY
Credential	:	MA, LPC-S
Telephone Number	:	830-583-4426

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	10/10/2025

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