Provider Demographics
NPI:1285895367
Name:METZNER, MARIANNE SOPHIA (MS, MA, LPC-S)
Entity type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:SOPHIA
Last Name:METZNER
Suffix:
Gender:F
Credentials:MS, MA, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8312 LA PLATA LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-3126
Mailing Address - Country:US
Mailing Address - Phone:512-961-8312
Mailing Address - Fax:512-329-5150
Practice Address - Street 1:2499 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:BUILDING B, SUITE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7762
Practice Address - Country:US
Practice Address - Phone:512-203-5460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61353101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health