Provider Demographics
NPI:1811508534
Name:KLEER COUNSELING LLC
Entity type:Organization
Organization Name:KLEER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-856-4326
Mailing Address - Street 1:2250 DOUBLE CREEK DRIVE
Mailing Address - Street 2:PO BOX 5178
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3800
Mailing Address - Country:US
Mailing Address - Phone:512-856-4326
Mailing Address - Fax:
Practice Address - Street 1:13706 RESEARCH BLVD STE 114
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1838
Practice Address - Country:US
Practice Address - Phone:512-856-4326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty