Organization
PEDERSEN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY L PEDERSEN LPC-S (OWNER/PSYCHOTHERAPIST)
(512) 963-3660
Entity
Organization
Contact information
Practice address
317 COPPERLEAF RD, LAKEWAY, TX 78734-4246
(512) 963-3660
Mailing address
317 COPPERLEAF RD, LAKEWAY, TX 78734-4246
(512) 963-3660
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
TX
01
—
1497872493
MY NPI TYPE 1 NUMBER - SOLE PRORIETOR
TX
Enumeration date
06/12/2022
Last updated
06/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us