Honored Soul Psychotherapy Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HONORED SOUL PSYCHOTHERAPY CENTER, LLC

Practice address

10308 Anahuac TRL
Austin, TX 78747-2704

Phone

(847) 687-8774

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By 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

Dominique Agypt, LCSW

Title

Owner

Phone

(847) 687-8774

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1467172775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 BRODIE LN STE. 160",
            "address_2": "PMB 1189",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485892",
            "telephone_number": "847-687-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10308 ANAHUAC TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472704",
            "telephone_number": "847-687-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORED SOUL PSYCHOTHERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "AGYPT",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-687-8774",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "10308 Anahuac Trl",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787472704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daphne Christina Hong, PHARMD
• Josephine Hong, MSN, APRN, FNP-C
• Mauricio Hong, MD
• Randy Honish
• Grace Lorena Honles, MD
• Christa Elaine Oakes Honsowetz, FNP-C
• Moonyeen R Hontanosas, FNP
• Allyson Beth Hood, OTR
• Charisa Hood
• David Hood, LPC, LMFT

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

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