Provider Demographics
NPI:1104998004
Name:SLIWA, MICHAEL J (LMFT LPC CCM HC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:SLIWA
Suffix:
Gender:M
Credentials:LMFT LPC CCM HC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 HYMEADOW DRIVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750
Mailing Address - Country:US
Mailing Address - Phone:512-219-0923
Mailing Address - Fax:512-331-4103
Practice Address - Street 1:12335 HYMEADOW DRIVE
Practice Address - Street 2:SUITE 450
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750
Practice Address - Country:US
Practice Address - Phone:512-219-0923
Practice Address - Fax:512-331-4103
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX505101Y00000X
TX406106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor