Provider Demographics
NPI:1831468438
Name:PFLUGERVILLE COUNSELING CENTER
Entity Type:Organization
Organization Name:PFLUGERVILLE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CRISTY
Authorized Official - Middle Name:WATSON
Authorized Official - Last Name:RAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LMFT
Authorized Official - Phone:512-659-2161
Mailing Address - Street 1:15901 CENTRAL COMMERCE DR STE 506
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2046
Mailing Address - Country:US
Mailing Address - Phone:512-659-2161
Mailing Address - Fax:
Practice Address - Street 1:15901 CENTRAL COMMERCE DR STE 506
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2046
Practice Address - Country:US
Practice Address - Phone:512-659-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19357101YM0800X
TX200924106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty