Provider Demographics
NPI:1922724053
Name:KLEINERT, ANNE LOUISE (LPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:LOUISE
Last Name:KLEINERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:RAYMOND
Other - Last Name:KLEINERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:10910 MEDFIELD CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1608
Mailing Address - Country:US
Mailing Address - Phone:512-870-7245
Mailing Address - Fax:
Practice Address - Street 1:10910 MEDFIELD CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-1608
Practice Address - Country:US
Practice Address - Phone:512-870-7245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional