Provider Demographics
NPI:1598983819
Name:ELEMENTS PSYCHOTHERAPYPLLC
Entity Type:Organization
Organization Name:ELEMENTS PSYCHOTHERAPYPLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:512-573-9192
Mailing Address - Street 1:600 ROUND ROCK WEST DR
Mailing Address - Street 2:SUITE 501
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5007
Mailing Address - Country:US
Mailing Address - Phone:512-573-9192
Mailing Address - Fax:512-246-2362
Practice Address - Street 1:600 ROUND ROCK WEST DR
Practice Address - Street 2:SUITE 501
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5007
Practice Address - Country:US
Practice Address - Phone:512-573-9192
Practice Address - Fax:512-246-2362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12835101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty