Organization
BLAINE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LIBIOS LPC (OWNER/DIRECTOR)
(737) 275-0087
Entity
Organization
Contact information
Practice address
1101 SATELLITE VW UNIT 303, ROUND ROCK, TX 78665-1589
(737) 275-0087
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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