Provider Demographics
NPI:1003294810
Name:LENKER, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LENKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 N MOPAC EXPY
Mailing Address - Street 2:SUITE 402
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8375
Mailing Address - Country:US
Mailing Address - Phone:512-299-4024
Mailing Address - Fax:512-215-9756
Practice Address - Street 1:8500 N MOPAC EXPY
Practice Address - Street 2:SUITE 402
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8375
Practice Address - Country:US
Practice Address - Phone:512-299-4024
Practice Address - Fax:512-215-9756
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2016-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical