Provider Demographics
NPI:1639427461
Name:HRC COUNSELING, LLC
Entity Type:Organization
Organization Name:HRC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:CONLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, LMFT
Authorized Official - Phone:830-370-9329
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-0366
Mailing Address - Country:US
Mailing Address - Phone:830-370-9329
Mailing Address - Fax:830-331-4050
Practice Address - Street 1:1100 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-3530
Practice Address - Country:US
Practice Address - Phone:830-370-9329
Practice Address - Fax:830-331-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64720101YP2500X
TX201300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212336601Medicaid