Organization
FOREST CREEK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA DENISE DYER LCSW (DIRECTOR/PSYCHOTHERAPIST)
(512) 731-9704
Entity
Organization
Contact information
Practice address
496 SHAYLA LN, CANYON LAKE, TX 78133
(512) 731-9704
(866) 278-0186
Mailing address
496 SHAYLA LN, CANYON LAKE, TX 78133
(512) 731-9704
(866) 278-0186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071331502
—
TX
Enumeration date
09/06/2019
Last updated
01/11/2023
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