Provider Demographics
NPI:1053729301
Name:SKARNULIS, LIBBA CARVER (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:LIBBA
Middle Name:CARVER
Last Name:SKARNULIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 GREYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1358
Mailing Address - Country:US
Mailing Address - Phone:512-497-9115
Mailing Address - Fax:
Practice Address - Street 1:8500 N MOPAC EXPY STE 818
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8348
Practice Address - Country:US
Practice Address - Phone:512-547-1352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional