Provider Demographics
NPI:1285093005
Name:FLIS, VICTORIA (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:FLIS
Suffix:
Gender:
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3513 BLACK GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-3333
Mailing Address - Country:US
Mailing Address - Phone:512-893-5594
Mailing Address - Fax:
Practice Address - Street 1:3513 BLACK GRANITE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-3333
Practice Address - Country:US
Practice Address - Phone:512-893-5594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0020863101YM0800X
WI11241-125101YM0800X
DCPRC200001946101YM0800X
NJ37PC01018100101YM0800X
TX76777101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health