Provider Demographics
NPI:1467173963
Name:SPANGENBERG, ALETHEA IRENE (LPC)
Entity Type:Individual
Prefix:
First Name:ALETHEA
Middle Name:IRENE
Last Name:SPANGENBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 MACKENZIE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-8303
Mailing Address - Country:US
Mailing Address - Phone:512-931-4895
Mailing Address - Fax:
Practice Address - Street 1:3000 JOE DIMAGGIO BLVD STE 86
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3992
Practice Address - Country:US
Practice Address - Phone:512-298-2440
Practice Address - Fax:512-671-9415
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health