Organization
COUNSELING FOR ATHLETES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISE NICOLE KEOGHAN LPC (THERAPIST)
(512) 617-0706
Entity
Organization
Contact information
Practice address
2520 LONGVIEW ST STE 212, AUSTIN, TX 78705-4201
(512) 617-0706
Mailing address
PO BOX 143942, AUSTIN, TX 78714-3942
(830) 708-0501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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