Provider Demographics
NPI:1154529766
Name:NEUMANN VIEREGG SERVICES, INC
Entity type:Organization
Organization Name:NEUMANN VIEREGG SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:VIEREGG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-752-1183
Mailing Address - Street 1:900 AUSTIN AVE
Mailing Address - Street 2:STE. 1001
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-1902
Mailing Address - Country:US
Mailing Address - Phone:254-752-1183
Mailing Address - Fax:254-756-5092
Practice Address - Street 1:900 AUSTIN AVE
Practice Address - Street 2:STE. 1001
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1902
Practice Address - Country:US
Practice Address - Phone:254-752-1183
Practice Address - Fax:254-756-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14875101YP2500X
TX17187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTIN