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NPI Code Detail

MEDICARE: LANDRUM COUNSELING AND CONSULTING, PLLC

MEDICARE: LANDRUM COUNSELING AND CONSULTING, 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
1101YM0800XMental Health Counselor63165TX

General Provider Information

NPI Number : 1376062018
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDRUM COUNSELING AND CONSULTING, PLLC
Provider Business Mailing Address
First Line : 3839 BEE CAVES RD STE 202
Second Line :
City : WEST LAKE HILLS
State : TX
Zip : 78746-5318
Country : US
Telephone Number : 512-791-3811
Fax Number : 512-900-2848
Provider Business Practice Location Address
First Line : 3839 BEE CAVES RD STE 202
Second Line :
City : WEST LAKE HILLS
State : TX
Zip : 78746-5318
Country : US
Telephone Number : 512-791-3811
Fax Number : 512-900-2848
Authorized Official
Title or Position : SOLE OWNER
Name : ANGEL LANDRUM
Credential : LPC-S, LCDC
Telephone Number : 512-791-3811
Provider Enumeration Date : 09/13/2017
Last Update Date : 07/21/2022

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