Provider Demographics
NPI:1699928622
Name:BOOTS, TALI ANNE (LPC)
Entity type:Individual
Prefix:MS
First Name:TALI
Middle Name:ANNE
Last Name:BOOTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 BEE CAVES RD
Mailing Address - Street 2:300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5802
Mailing Address - Country:US
Mailing Address - Phone:512-766-7789
Mailing Address - Fax:
Practice Address - Street 1:3160 BEE CAVES RD
Practice Address - Street 2:300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5802
Practice Address - Country:US
Practice Address - Phone:512-766-7789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health