Provider Demographics
NPI:1669060265
Name:SCHAEFER, BETHANY ANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:ANNE
Last Name:SCHAEFER
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 1:4015 KERLEY CT
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-4343
Mailing Address - Country:US
Mailing Address - Phone:512-587-5721
Mailing Address - Fax:
Practice Address - Street 1:4015 KERLEY CT
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4343
Practice Address - Country:US
Practice Address - Phone:512-587-5721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional