Provider Demographics
NPI:1043013089
Name:HOLCOMB, MICHELLE RAUSCH (PHD, LPC-S)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:RAUSCH
Last Name:HOLCOMB
Suffix:
Gender:
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 MENGER SPGS STE 1240
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-7221
Mailing Address - Country:US
Mailing Address - Phone:210-920-4558
Mailing Address - Fax:
Practice Address - Street 1:134 MENGER SPGS STE 1240
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-7221
Practice Address - Country:US
Practice Address - Phone:210-920-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty