Individual provider · Type 1 NPI

Stacy Melody Bockholt, LMFT-ASSOCIATE

Mental Health Counselor · Austin, TX

NPI number 1093412231 Active

Practice location

1000 Westbank Dr., Ste 6-250
Austin, TX 78746

Call (512) 815-3599 Map

Fax (737) 237-5657

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X204956 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1093412231

Stacy Melody Bockholt, LMFT-ASSOCIATE's National Provider Identifier is 1093412231, issued on Feb 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Feb 8, 2023.