Organization · NPI-2

Blaine Counseling & Consulting

Clinic/Center, Mental Health (Including Community Mental Health Center) · Round Rock, TX

NPI number1316625387
StatusActive
Last updated in NPPESJul 10, 2023

Details

NPI
1316625387
Entity type
Organization (NPI-2)
Legal business name
Blaine Counseling & Consulting
Organization subpart
No
Enumeration date
Jul 10, 2023
Certification date
Jul 10, 2023
Last updated
Jul 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1101 Satellite Vw Unit 303
Round Rock, TX 78665-1589

Phone 737-275-0087

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Authorized official

Theresa Libios
Owner/Director
7372750087

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