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NPI Code Detail

MEDICARE: JACQUELINE MAYE LPC-S; LCDC

MEDICARE:   JACQUELINE  MAYE  LPC-S; LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor13645TX
2101YM0800XMental Health Counselor73705TX

General Provider Information

NPI Number : 1891410908
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE MAYE LPC-S; LCDC
Provider Business Mailing Address
First Line : 4168 COUNTY ROAD 444
Second Line :
City : WAELDER
State : TX
Zip : 78959-5328
Country : US
Telephone Number : 512-630-5751
Fax Number :
Provider Business Practice Location Address
First Line : 7211 ALBERT RD
Second Line :
City : AUSTIN
State : TX
Zip : 78745-6101
Country : US
Telephone Number : 512-630-5751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2022
Last Update Date : 12/15/2025

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Directions to “ JACQUELINE MAYE LPC-S; LCDC” Practice Location

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