Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. VIDA L WEATHERFORD WALSH, LPC,LCDC

Active Sole Proprietor

Mental Health Counselor · GEORGETOWN, TX

Registration Details

NPI Number: 1750639142
Provider Type: Individual
Gender: Female
NPI Issued: Aug 16, 2012 (13.692350862348 yrs)
Last Updated: Aug 16, 2012
Licenses: 11166 (TX)

65085 (TX)
Sole Proprietor: Yes

Practice Information

Address: 624 S AUSTIN AVE

SUITE 220

GEORGETOWN, TX, 786265707
Browse TX providers · Browse ZIP 78626
Phone: 5129664271
Primary Specialty: Mental Health Counselor
101YM0800X
Additional Specialty: Mental Health Counselor

Other Mental Health Counselor Providers in GEORGETOWN, TX

Name	Credential	NPI
KATHRYN E HOLLAND	LPC	1619997350
RHONDA M GRIFFIN	LPC	1598787947
MRS. TAMMY LYNNE WANAMAKER	M.A.	1346350238
MR. BRADLEY KEITH MASON	LPC	1992823900
MRS. JULIE ANN ROCHA	LCSW	1689794612
MS. SALLY L RAY	LPC	1851502835

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.