TRAUMA DETOX PLLC NPI 1043862246

NPI Information

  • NPI: 1043862246
  • Provider Name: TRAUMA DETOX PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 3613 WILLIAMS DR STE 1006
    GEORGETOWN, TX
    ZIP 78628
  • Phone: (512) 796-5059

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NPI Details

TRAUMA DETOX PLLC is a professional counselor in Georgetown, TX. TRAUMA DETOX PLLC NPI is 1043862246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3613 WILLIAMS DR STE 1006
GEORGETOWN, TX
ZIP 78628-376
Phone: (512) 796-5059

The provider's authorized official is Danielle West .
The authorized official title is Managing Partner and has the following contact phone number (512) 796-5059.

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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