Austin Relationship Repair Shop

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AUSTIN RELATIONSHIP REPAIR SHOP

Practice address

1101 S Capital of Texas Hwy Ste A200
West Lake Hills, TX 78746-6453

Phone

(512) 330-1757

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By 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

Dr. Pamela Monday, PH.D.NPI 1316309461

Title

Owner

Phone

(512) 330-1757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Jane Monday, PH.D.

  • Marriage & Family Therapist
  • West Lake Hills, TX
  • NPI 1316309461
  NPD Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1568075059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CAPITAL OF TEXAS HWY STE A200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466453",
            "telephone_number": "512-330-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CAPITAL OF TEXAS HWY STE A200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466453",
            "telephone_number": "512-330-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN RELATIONSHIP REPAIR SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "MONDAY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-330-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Marriage Counseling PLLC
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• Austin Surgico (Westlake Hills Surgery Center)
• Austin Trauma Associates
• Austin Westlake Therapy, PLLC
• Fereshteh Azad, MD

• Mental Health Counselor in West Lake Hills, TX
• Providers in West Lake Hills, 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 Aug 25, 2020; 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.