Provider Demographics
NPI:1043504434
Name:VAN BESIEN, SAVANNAH RAE (LPC-S)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:RAE
Last Name:VAN BESIEN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 RED BIRD CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-4137
Mailing Address - Country:US
Mailing Address - Phone:512-709-6475
Mailing Address - Fax:
Practice Address - Street 1:8101 RED BIRD CT
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-4137
Practice Address - Country:US
Practice Address - Phone:512-709-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65331101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional