Provider Demographics
NPI:1104629062
Name:RURAL TEXAS PSYCHOEDUCATIONAL SERVICES, PLLC
Entity type:Organization
Organization Name:RURAL TEXAS PSYCHOEDUCATIONAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:A LYSSY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-S
Authorized Official - Phone:830-583-4426
Mailing Address - Street 1:PO BOX 473
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78113-0473
Mailing Address - Country:US
Mailing Address - Phone:830-583-4426
Mailing Address - Fax:
Practice Address - Street 1:10434 US HIGHWAY 181 S # 473
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:TX
Practice Address - Zip Code:78113-3000
Practice Address - Country:US
Practice Address - Phone:830-583-4426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)