Provider Demographics
NPI:1912105537
Name:ALBRACHT, ROBERTA
Entity Type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:
Last Name:ALBRACHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROBBIE
Other - Middle Name:
Other - Last Name:ALBRACHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:7901 HAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7901 HAVENWOOD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8920
Practice Address - Country:US
Practice Address - Phone:512-794-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX085431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical