Provider Demographics
NPI:1609522549
Name:MARY PIATT COUNSELING, PLLC
Entity Type:Organization
Organization Name:MARY PIATT COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:PIATT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-ASSOCIATE
Authorized Official - Phone:512-877-4288
Mailing Address - Street 1:1210 THISTLE TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3472
Mailing Address - Country:US
Mailing Address - Phone:512-887-4288
Mailing Address - Fax:
Practice Address - Street 1:2913 WILLIAMS DR STE 220
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2739
Practice Address - Country:US
Practice Address - Phone:512-887-4288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)