| Forest Creek Counseling Llc | |
|
496 Shayla Ln Canyon Lake TX 78133 | |
| (512) 731-9704 | |
| (866) 278-0186 |
| Full Name | Forest Creek Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 496 Shayla Ln, Canyon Lake, Texas |
| Authorized Official Name and Position | Rhonda Denise Dyer (DIRECTOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5127319704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Creek Counseling Llc 496 Shayla Ln Canyon Lake TX 78133 Ph: (512) 731-9704 | Forest Creek Counseling Llc 496 Shayla Ln Canyon Lake TX 78133 Ph: (512) 731-9704 |
| NPI Number | 1336798990 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336798990 | NPI | - | NPPES |
| 071331502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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