Provider Demographics
NPI:1780984864
Name:TEMPLETON, EMILY J (LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:TEMPLETON
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 1:14205 N MOPAC
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-6527
Mailing Address - Country:US
Mailing Address - Phone:512-275-1285
Mailing Address - Fax:210-733-7118
Practice Address - Street 1:14205 N MOPAC
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-6527
Practice Address - Country:US
Practice Address - Phone:512-275-1285
Practice Address - Fax:210-733-7118
Is Sole Proprietor?:No
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-2631080Medicaid