Provider Demographics
NPI:1093201493
Name:AMY URBANEK LPC NCC PLLC
Entity Type:Organization
Organization Name:AMY URBANEK LPC NCC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:URBANEK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:737-400-9261
Mailing Address - Street 1:2911 A W GRIMES BLVD STE 710
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4832
Mailing Address - Country:US
Mailing Address - Phone:737-400-9261
Mailing Address - Fax:737-228-1328
Practice Address - Street 1:2911 A W GRIMES BLVD STE 710
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4832
Practice Address - Country:US
Practice Address - Phone:737-400-9261
Practice Address - Fax:737-228-1328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65909101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty