Organization · Type 2 NPI
The Cottage of Lakeway
Professional Counselor · Spicewood, TX
NPI number
1275908097
Active
Practice location
2777 Tradewind Dr
Spicewood, TX 78669-5131
Mailing address
1150 Lakeway Dr, Suite 216
Lakeway, TX 78234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63830 (TX) |
Professional Counselor: Definition to come...
About NPI 1275908097
The Cottage of Lakeway's National Provider Identifier is 1275908097, issued on Dec 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Spicewood, TX. The record was last updated on Dec 9, 2016.