Provider Demographics
NPI:1366740870
Name:MINER COUNSELING SERVICES LTD LLP
Entity type:Organization
Organization Name:MINER COUNSELING SERVICES LTD LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-689-7105
Mailing Address - Street 1:11900 QUASSIA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1941
Mailing Address - Country:US
Mailing Address - Phone:512-689-7105
Mailing Address - Fax:512-527-3576
Practice Address - Street 1:3625 MANCHACA RD STE 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5912
Practice Address - Country:US
Practice Address - Phone:512-689-7105
Practice Address - Fax:512-527-3576
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLAIRE MINER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13663251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health