Doctor Name: | MRS. STARR BURGESS |
NPI Number: | 1205133832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., NCC, LPC |
License Number: | 64128 |
Business Practice Address: | 821 Grand Avenue Pkwy Bldg 1, Ste 108 Pflugerville, TX - 786602196 |
Business Phone Number: | 5126732192 |
Business Fax Number: | |
Mailing Address: | 900 E Pecan St, Ste 300 Pmb 282 PFLUGERVILLE |
State: | TX |
Postal Code: | 786608048 |
Phone Number: | 5126732192 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 64128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |