Provider Demographics
NPI:1174677272
Name:O'NEILL, MAEVE (LPC, MAC)
Entity Type:Individual
Prefix:
First Name:MAEVE
Middle Name:
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13740 W STATE HIGHWAY 29
Mailing Address - Street 2:P.O. BOX 385
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-6283
Mailing Address - Country:US
Mailing Address - Phone:512-630-9876
Mailing Address - Fax:
Practice Address - Street 1:13740 W STATE HIGHWAY 29 STE 1
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-6283
Practice Address - Country:US
Practice Address - Phone:512-630-9876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional