Provider Demographics
NPI:1447530258
Name:URBANEK, AMY ALISON (LPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:ALISON
Last Name:URBANEK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 A W GRIMES BLVD STE 710
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4832
Mailing Address - Country:US
Mailing Address - Phone:737-400-9261
Mailing Address - Fax:737-228-1328
Practice Address - Street 1:2911 A W GRIMES BLVD STE 710
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4832
Practice Address - Country:US
Practice Address - Phone:737-400-9261
Practice Address - Fax:737-228-1328
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65909101Y00000X, 101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health