Provider Demographics
NPI:1265732325
Name:O'BRIEN, ELIZABETH OWEN (LPC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:OWEN
Last Name:O'BRIEN
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 1:6501 MINIKAHDA CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6359
Mailing Address - Country:US
Mailing Address - Phone:512-680-7379
Mailing Address - Fax:
Practice Address - Street 1:1000 WESTBANK DR
Practice Address - Street 2:# 6-250
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6598
Practice Address - Country:US
Practice Address - Phone:512-680-7379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64575101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64575OtherLPC