Organization Active NPI

Sacred Willow Therapy, PLLC

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1730094293
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SACRED WILLOW THERAPY, PLLC
Practice address
3801 N Capital of Texas Hwy Ste E2404114
Austin, TX 78746-1416
Phone
(512) 333-0572
NPI assigned
Aug 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Destinee Walden, LCSW
Title
Founder/Therapist
Phone
(512) 333-0572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3801 N Capital of Texas Hwy Ste E2404114
Austin, TX 78746-1416

Mailing address

3801 N Capital of Texas Hwy Ste E2404114
Austin, TX 78746-1416
Phone (512) 333-0572

National Provider Directory

National Provider Directory

Locations

3801 N Capital of Texas Hwy
Ste E2404114
Austin, TX 78746

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1730094293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE E2404114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461416",
            "telephone_number": "512-333-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE E2404114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461416",
            "telephone_number": "512-333-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED WILLOW THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "DESTINEE",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "512-333-0572",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.