| Live Authentically Counseling | |
|
200 University Blvd Ste 225-252v Round Rock TX 78665-1001 | |
| (512) 200-4247 | |
| Not Available |
| Full Name | Live Authentically Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 200 University Blvd Ste 225-252v, Round Rock, Texas |
| Authorized Official Name and Position | Leslie Catlett (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5122004247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Authentically Counseling 200 University Blvd Ste 225-252 Round Rock TX 78665-1001 Ph: (512) 200-4247 | Live Authentically Counseling 200 University Blvd Ste 225-252v Round Rock TX 78665-1001 Ph: (512) 200-4247 |
| NPI Number | 1285406900 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 11/04/2023 |
| Certification Date | 11/04/2023 |
| Medicare PECOS PAC ID | 1254780166 |
|---|---|
| Medicare Enrollment ID | O20231218000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285406900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie Anne Catlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013639582 PECOS PAC ID: 5193191104 Enrollment ID: I20221017001317 |
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