| Pedersen Counseling Pllc | |
|
317 Copperleaf Rd Lakeway TX 78734-4246 | |
| (512) 963-3660 | |
| Not Available |
| Full Name | Pedersen Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 317 Copperleaf Rd, Lakeway, Texas |
| Authorized Official Name and Position | Kelly L Pedersen (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5129633660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedersen Counseling Pllc 317 Copperleaf Rd Lakeway TX 78734-4246 Ph: (512) 963-3660 | Pedersen Counseling Pllc 317 Copperleaf Rd Lakeway TX 78734-4246 Ph: (512) 963-3660 |
| NPI Number | 1104556364 |
|---|---|
| Provider Enumeration Date | 06/12/2022 |
| Last Update Date | 06/12/2022 |
| Certification Date | 06/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104556364 | NPI | - | NPPES |
| 1497872493 | Other | TX | MY NPI TYPE 1 NUMBER - SOLE PRORIETOR |
| 101YP2500X | Medicaid | TX |
| 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 | |
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 |