MEDICARE: CASA ESPERANZA

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	101YM0800X	Mental Health Counselor
2	103K00000X	Behavior Analyst
3	235Z00000X	Speech-Language Pathologist
4	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	53712	TX

General Provider Information

NPI Number	:	1124263504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASA ESPERANZA

Provider Business Mailing Address
First Line	:	PO BOX 457
Second Line	:
City	:	LIBERTY HILL
State	:	TX
Zip	:	78642-0457
Country	:	US
Telephone Number	:	512-515-6889
Fax Number	:	512-515-6793

Provider Business Practice Location Address
First Line	:	1705 COUNTY ROAD 285
Second Line	:
City	:	LIBERTY HILL
State	:	TX
Zip	:	78642
Country	:	US
Telephone Number	:	512-515-6889
Fax Number	:	512-515-6793

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. DAVID GOULD
Credential	:
Telephone Number	:	512-963-6889

Provider Enumeration Date	:	12/12/2008
Last Update Date	:	05/14/2025

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1437193778 — LEIA MORRIS MORRIS DPT
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Directions to “CASA ESPERANZA ” Practice Location

Language	Start Address	Practice Location

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