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NPI Code Detail

MEDICARE: CRAVE COUNSELING PLLC

MEDICARE: CRAVE COUNSELING 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
1103K00000XBehavior Analyst
2103T00000XPsychologist
3103TM1800XIntellectual & Developmental Disabilities Psychologist
4101YA0400XAddiction (Substance Use Disorder) Counselor
5101YM0800XMental Health Counselor
61041C0700XClinical Social Worker
7106H00000XMarriage & Family Therapist
8251B00000XCase Management Agency
9251S00000XCommunity/Behavioral Health Agency
10101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134762982
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRAVE COUNSELING PLLC
Provider Business Mailing Address
First Line : 1 CHISHOLM TRAIL RD STE 450
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-5094
Country : US
Telephone Number : 512-546-6798
Fax Number : 512-591-0049
Provider Business Practice Location Address
First Line : 1311 CHISHOLM TRAIL RD STE 201
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-2969
Country : US
Telephone Number : 512-546-6798
Fax Number : 512-591-0049
Authorized Official
Title or Position : OWNER
Name : ASHA M CREARY
Credential : LPC, NCC
Telephone Number : 512-546-6798
Provider Enumeration Date : 10/24/2019
Last Update Date : 04/24/2022

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