Provider Demographics
NPI:1013052687
Name:WEEKE, IRIS (LPC)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:WEEKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N RAINBOW RANCH RD
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-5967
Mailing Address - Country:US
Mailing Address - Phone:512-468-8242
Mailing Address - Fax:512-847-2785
Practice Address - Street 1:12117 BEE CAVE ROAD
Practice Address - Street 2:SUITE 260
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738
Practice Address - Country:US
Practice Address - Phone:512-468-8242
Practice Address - Fax:512-847-2785
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional