Provider Demographics
NPI:1386443141
Name:WOLF RIVER PSYCHOTHERAPY & COACHING
Entity type:Organization
Organization Name:WOLF RIVER PSYCHOTHERAPY & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LENKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-299-4024
Mailing Address - Street 1:3571 FAR WEST BLVD # 3344
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3064
Mailing Address - Country:US
Mailing Address - Phone:512-299-4024
Mailing Address - Fax:
Practice Address - Street 1:17 TAMMY TRL
Practice Address - Street 2:
Practice Address - City:DRUMS
Practice Address - State:PA
Practice Address - Zip Code:18222-1010
Practice Address - Country:US
Practice Address - Phone:512-299-4024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty