Provider Demographics
NPI:1013359801
Name:PIETIG COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:PIETIG COUNSELING AND CONSULTING, LLC
Other - Org Name:LIFE IN MOTION COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:PIETIG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-799-4875
Mailing Address - Street 1:4008 GALENA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2616
Mailing Address - Country:US
Mailing Address - Phone:512-799-4875
Mailing Address - Fax:855-216-1159
Practice Address - Street 1:1311 CHISHOLM TRL
Practice Address - Street 2:STE 301
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2968
Practice Address - Country:US
Practice Address - Phone:512-799-4875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty