Watershed Group of Austin Dba Lifeologie

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE

Practice address

7000 N Mopac Expy Ste 200
Austin, TX 78731-3013

Phone

(512) 651-3575

NPI assigned

Apr 29, 2022

Organization subpart

No

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

Authorized official

Name

Ly Tran

Title

Owner

Phone

(512) 651-3575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1396480836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SHIRE BLVD STE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822238",
            "telephone_number": "214-556-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N MOPAC EXPY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313013",
            "telephone_number": "512-651-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "LY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-651-3575"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Waterman, M.D.
• Alexandria D Waters
• Hunter Waters
• James R. Waters, DDS, MSD
• Kristie Lynn Waters, LMT
• Heather Waterwall, LCSW-S
• Angela Watkins, LMT, MMP
• Anna Elizabeth Watkins, DNP, APN, FNP-BC
• Bailey Marie Watkins, OTR/L
• Bianca Watkins

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.