Austin Wellness, PLLC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

AUSTIN WELLNESS, PLLC

Practice address

10010 Anderson Mill Rd
Austin, TX 78750-2127

Phone

(512) 257-0050

Fax

(512) 257-0050

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Blackwood, LCDC, LPC

Title

President and Owner

Phone

(512) 257-0050

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1346490562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 ANDERSON MILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502127",
            "telephone_number": "512-257-0050",
            "fax_number": "512-257-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 ANDERSON MILL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502127",
            "telephone_number": "512-257-0050",
            "fax_number": "512-257-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "512-257-0050",
        "authorized_official_credential": "LCDC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.