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Contact Information

FOREST CREEK COUNSELING LLC
496 SHAYLA LN
CANYON LAKE, TX78133
 Phone: 512-731-9704
 Fax: 866-278-0186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for FOREST CREEK COUNSELING LLC · (Female)

NPI # 1336798990
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2019
Last updated 01/11/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 071331502
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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