MEDICARE: SUSAN GALVIN 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1598627028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN GALVIN COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1100 ROUND ROCK AVE STE 110
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4517
Country	:	US
Telephone Number	:	512-663-2285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 ROUND ROCK AVE STE 110
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4517
Country	:	US
Telephone Number	:	512-663-2285
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUSAN MARIE CROWLEY-GALVIN
Credential	:	LCSW
Telephone Number	:	512-663-2285

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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