Provider Demographics
NPI:1255617312
Name:CAO, THUY V (MFT)
Entity type:Individual
Prefix:MS
First Name:THUY
Middle Name:V
Last Name:CAO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 ST STANISLAWS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2837
Mailing Address - Country:US
Mailing Address - Phone:424-835-0880
Mailing Address - Fax:
Practice Address - Street 1:1113 ST STANISLAWS DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-2837
Practice Address - Country:US
Practice Address - Phone:424-835-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203533106H00000X
CAMFC 49946106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist