| Lake Travis Counseling Connection Pllc | |
|
311 Ranch Road 620 S Ste 105 Lakeway TX 78734-4747 | |
| (512) 263-4200 | |
| (512) 233-2867 |
| Full Name | Lake Travis Counseling Connection Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 311 Ranch Road 620 S Ste 105, Lakeway, Texas |
| Authorized Official Name and Position | Jan Shope (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5122634200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Travis Counseling Connection Pllc 311 Ranch Road 620 S Ste 105 Lakeway TX 78734-4747 Ph: (512) 263-4200 | Lake Travis Counseling Connection Pllc 311 Ranch Road 620 S Ste 105 Lakeway TX 78734-4747 Ph: (512) 263-4200 |
| NPI Number | 1396209052 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396209052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Maria Wesley-pinion Lcsw Csat Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 Phone: 512-270-9442 | |
Shanaz Ikonne, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Ranch Road 620 S Ste B, Lakeway, TX 78734 Phone: 469-626-9085 | |
Pedersen Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 Copperleaf Rd, Lakeway, TX 78734 Phone: 512-963-3660 | |
Pennington Psychology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 Rr 620 S Ste B, Lakeway, TX 78734 Phone: 512-537-0980 | |
Maria Fishel, Phd, Lssp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Lakeway Dr, Ste. 8, Lakeway, TX 78734 Phone: 512-748-6373 Fax: 512-551-0722 | |
Carmen Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Ranch Road 620 S Ste 400, Lakeway, TX 78734 Phone: 512-254-8282 Fax: 512-254-8254 | |
Diane Nguyen Do Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Ranch Road 620 S, Ste 108, Lakeway, TX 78734 Phone: 512-502-4556 Fax: 512-263-9975 |