Organization
HEART OF GYPSY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LYNN SIMONICH LCSW, LCDC (OWNER/CLINICIAN)
(512) 690-4658
Entity
Organization
Contact information
Practice address
3550 LAKELINE BLVD STE 170-1229, LEANDER, TX 78641-3504
(512) 690-4658
Mailing address
3550 LAKELINE BLVD STE 170-1229, LEANDER, TX 78641-3504
(512) 690-4658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295260693
—
TX
Enumeration date
12/24/2020
Last updated
12/24/2020
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