MEDICARE: COUNSELING FOR YOU, 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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1790242246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING FOR YOU, PLLC

Provider Business Mailing Address
First Line	:	5184 W HIGHWAY 290 STE A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8914
Country	:	US
Telephone Number	:	512-553-2054
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 DESSAU RIDGE LN STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2190
Country	:	US
Telephone Number	:	512-553-2054
Fax Number	:

Authorized Official
Title or Position	:	COUNSELING
Name	:	NICOLE WARREN
Credential	:	LMFT
Telephone Number	:	512-553-2054

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	08/12/2019

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