| NPI | 1376786459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT WAYNE WHEELER Lpc, Lssp, Lpa 512-786-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 15744) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TS0200X Psychologist, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |