Provider Demographics
NPI:1730331166
Name:MAUNEY & ASSOCIATES, LLC
Entity type:Organization
Organization Name:MAUNEY & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW-IPR, LCDC
Authorized Official - Phone:254-471-5906
Mailing Address - Street 1:P.O. BOX 351
Mailing Address - Street 2:
Mailing Address - City:EVANT
Mailing Address - State:TX
Mailing Address - Zip Code:76525
Mailing Address - Country:US
Mailing Address - Phone:254-471-5906
Mailing Address - Fax:
Practice Address - Street 1:752 COUNTY ROAD 417
Practice Address - Street 2:
Practice Address - City:EVANT
Practice Address - State:TX
Practice Address - Zip Code:76525-2532
Practice Address - Country:US
Practice Address - Phone:254-471-5906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7533101YA0400X
TX34399251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN