Provider Demographics
NPI:1033752274
Name:SCHRIEVER, GERRY (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:GERRY
Middle Name:
Last Name:SCHRIEVER
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 N HILLS DR STE B205
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3061
Mailing Address - Country:US
Mailing Address - Phone:512-794-9355
Mailing Address - Fax:512-794-0076
Practice Address - Street 1:3624 N HILLS DR STE B205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3061
Practice Address - Country:US
Practice Address - Phone:512-794-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional