Provider Demographics
NPI:1508677162
Name:FECHTEL, CHARLES JOSEPH III (LPC-A)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:JOSEPH
Last Name:FECHTEL
Suffix:III
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:FECHTEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-A
Mailing Address - Street 1:4159 STECK AVE UNIT 132
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8515
Mailing Address - Country:US
Mailing Address - Phone:214-543-2604
Mailing Address - Fax:
Practice Address - Street 1:2413 GREENLAWN PKWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-2126
Practice Address - Country:US
Practice Address - Phone:512-472-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91794101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health