Provider Demographics
NPI:1851810386
Name:EMMERICH, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:EMMERICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:LANSBERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:14620 HYSON XING
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3010
Mailing Address - Country:US
Mailing Address - Phone:520-730-0987
Mailing Address - Fax:
Practice Address - Street 1:13740 RESEARCH BLVD STE K2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1832
Practice Address - Country:US
Practice Address - Phone:520-415-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16730101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional