Provider Demographics
NPI:1689857260
Name:COUNSELING AND THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:COUNSELING AND THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-328-2563
Mailing Address - Street 1:3101 BEE CAVE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5587
Mailing Address - Country:US
Mailing Address - Phone:512-328-2563
Mailing Address - Fax:512-306-8978
Practice Address - Street 1:3101 BEE CAVE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5587
Practice Address - Country:US
Practice Address - Phone:512-328-2563
Practice Address - Fax:512-306-8978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31887103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0011QQOtherBCBS