Provider Demographics
NPI:1700554557
Name:INNER WARRIOR COUNSELING, PLLC
Entity type:Organization
Organization Name:INNER WARRIOR COUNSELING, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRI
Authorized Official - Middle Name:S
Authorized Official - Last Name:HIMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-669-8515
Mailing Address - Street 1:1320 CABELAS DR UNIT 1023
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-1842
Mailing Address - Country:US
Mailing Address - Phone:512-669-8515
Mailing Address - Fax:
Practice Address - Street 1:1320 CABELAS DR UNIT 1023
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-1842
Practice Address - Country:US
Practice Address - Phone:512-669-8515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-04
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty