Provider Demographics
NPI:1952077091
Name:MAJORS, BERT ALLEN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:BERT
Middle Name:ALLEN
Last Name:MAJORS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19120 ROMANO DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-2294
Mailing Address - Country:US
Mailing Address - Phone:979-571-1325
Mailing Address - Fax:
Practice Address - Street 1:1928 GASTON PLACE DR STE C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2658
Practice Address - Country:US
Practice Address - Phone:512-600-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX689461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical