Provider Demographics
NPI:1659178291
Name:OUR LIVES COUNSELING LLC
Entity type:Organization
Organization Name:OUR LIVES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-270-1923
Mailing Address - Street 1:1106 MAIN ST UNIT 374
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-8548
Mailing Address - Country:US
Mailing Address - Phone:512-270-1923
Mailing Address - Fax:979-282-5168
Practice Address - Street 1:1106 MAIN ST UNIT 374
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-8548
Practice Address - Country:US
Practice Address - Phone:512-270-1923
Practice Address - Fax:979-282-5168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty