| Doctor Name: | MISS RETA KATHLEEN ELROD |
| NPI Number: | 1184706210 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 62041 |
| Business Practice Address: | 1221 W Ben White Blvd Suite 108a Austin, TX - 787047192 |
| Business Phone Number: | 5127797101 |
| Business Fax Number: | 5124940788 |
| Mailing Address: | 2901 Barton Skwy Apt 3312, AUSTIN |
| State: | TX |
| Postal Code: | 787467562 |
| Phone Number: | 5127797101 |
| Fax Number: | 5124940788 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 02/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 62041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |