Teen Therapy Austin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

63382 Issued in TX

Legal business name

TEEN THERAPY AUSTIN

Practice address

1301 S Capital of Texas Hwy
C130
West Lake Hills, TX 78746-6574

Phone

(512) 402-2650

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Nityda Coleman, LCSW

Title

Owner

Phone

(512) 402-2650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1487181194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S CAPITAL OF TEXAS HWY",
            "address_2": "C130",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466574",
            "telephone_number": "512-402-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CAPITAL OF TEXAS HWY",
            "address_2": "C130",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466574",
            "telephone_number": "512-402-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN THERAPY AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "NITYDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-402-2650",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ted L Edwards Jr MD PA
• Lila Tenenbown, MSN, APRN, PMHNP-BC
• Lakshmi VS Tenneti, MD
• Eloise Terry, LCSW
• Julia Elizabeth Terstriep, LMFT-A
• Monty B. Tew, MD

• Clinical Social Worker in West Lake Hills, TX
• Providers in West Lake Hills, 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 May 12, 2017; 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.