Organization Name: | PIETIG COUNSELING AND CONSULTING, LLC |
NPI Number: | 1013359801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARRIE LYNNE PIETIG (PROFESSIONAL COUNSELOR) |
Mailing Address: | 1311 Chisholm Trl Ste 301 Round Rock |
State: | TX US |
Postal Code: | 786812968 |
Phone Number: | 5127994875 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2013 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 64658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |