Provider Demographics
NPI:1255573291
Name:FLEMING- GLICK, ANN MARIE (LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:FLEMING- GLICK
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:MRS
Other - First Name:ANN MARIE
Other - Middle Name:
Other - Last Name:FLEMING-GLICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT,LPC
Mailing Address - Street 1:4201 BEE CAVE RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6465
Mailing Address - Country:US
Mailing Address - Phone:512-329-6338
Mailing Address - Fax:512-329-6146
Practice Address - Street 1:4201 BEE CAVE RD
Practice Address - Street 2:SUITE 213
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6465
Practice Address - Country:US
Practice Address - Phone:512-329-6338
Practice Address - Fax:512-329-6146
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06988101YP2500X
TX3942106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional