Provider Demographics
NPI:1316330285
Name:ROUHANI, VENUS (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:VENUS
Middle Name:
Last Name:ROUHANI
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N IH 35 APT TH4
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-4333
Mailing Address - Country:US
Mailing Address - Phone:512-751-7768
Mailing Address - Fax:
Practice Address - Street 1:3355 BEE CAVES RD
Practice Address - Street 2:BLDG 6, SUITE 601
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6775
Practice Address - Country:US
Practice Address - Phone:512-815-2828
Practice Address - Fax:512-861-8083
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66930101YP2500X
TX201643106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist