1336325182 NPI number — ELIZABETH ANNE RAINS, MA, LPC

Table of content: (NPI 1336325182)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336325182 NPI number — ELIZABETH ANNE RAINS, MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELIZABETH ANNE RAINS, MA, LPC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RAINS COUNSELING SERVICES, INC.
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336325182
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6633 HILLSIDE TERRACE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78749-4109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-636-1611
Provider Business Mailing Address Fax Number:
512-328-6901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3607 PINNACLE RD
Provider Second Line Business Practice Location Address:
#5
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-7483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-636-1611
Provider Business Practice Location Address Fax Number:
512-328-6901
Provider Enumeration Date:
01/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RAINS
Authorized Official First Name:
ELIZABETH ANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
512-636-1611

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1962618058 . This is a "TYPE 1 NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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