Community Life Counseling

Organization Active NPI Professional Counselor · Gatesville, TX

NPI 1073377487 · NPPES record last updated Feb 7, 2024

Key facts

NPI
1073377487
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
COMMUNITY LIFE COUNSELING
Practice address
407 Highway 36 Byp N Ste 1
Gatesville, TX 76528-4680
Phone
(254) 865-9911
Fax
(254) 865-9912
NPI assigned
Feb 7, 2024
Organization subpart
No

Authorized official

Name
Steven Thomas Hardcastle, LPC NPI 1679881239
Title
Owner/Provider
Phone
(254) 865-9911

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240215004097 TX Part B Supplier - Clinic/Group Practice 5092159244 Receives reassigned benefits from 1 practitioner
Practice locations: Gatesville, TX

National Provider Directory

Locations

407 Highway 36 Byp N
Ste 1
Gatesville, TX 76528
Phone (254) 865-9911

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

407 Highway 36 Byp N Ste 1
Gatesville, TX 76528-4680

Mailing address

407 Highway 36 Byp N Ste 1
Gatesville, TX 76528-4680
Phone (254) 865-9911

Other providers in Gatesville, TX

All providers in Gatesville, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.