Provider Demographics
NPI:1619730389
Name:MAWHIRTER, LEVI (LMFT-A)
Entity Type:Individual
Prefix:
First Name:LEVI
Middle Name:
Last Name:MAWHIRTER
Suffix:
Gender:M
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WOODS OF BOERNE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2882
Mailing Address - Country:US
Mailing Address - Phone:830-967-7422
Mailing Address - Fax:
Practice Address - Street 1:101 WOODS OF BOERNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2882
Practice Address - Country:US
Practice Address - Phone:830-967-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205119390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program