Organization
LIFECARE THERAPIES, PLLC
Active
Other names
LifeCare Therapies, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GE'O-VANNA SMITH (CLINIC DIRECTOR)
(512) 775-3704
Entity
Organization
Contact information
Practice address
15901 CENTRAL COMMERCE DR STE 502, PFLUGERVILLE, TX 78660-2046
(512) 775-3704
Mailing address
PO BOX 17, HUTTO, TX 78634-0017
(512) 775-3704
(512) 884-5111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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