Provider Demographics
NPI:1215688726
Name:SOLUNA COUNSELING AND TRAUMA SPECIALIST, PLLC
Entity type:Organization
Organization Name:SOLUNA COUNSELING AND TRAUMA SPECIALIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-826-3217
Mailing Address - Street 1:1100 STATE PARK RD STE 109
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-3832
Mailing Address - Country:US
Mailing Address - Phone:512-766-6691
Mailing Address - Fax:
Practice Address - Street 1:1013 W SAN ANTONIO ST STE 109
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-3051
Practice Address - Country:US
Practice Address - Phone:512-766-6691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX61020OtherLICENSED CLINICAL SOCIAL WORKER