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INNER CITY COMMUNITY SERVICES INC. NPI 1295053304


NPI Information

NPI: 1295053304
Provider Name: INNER CITY COMMUNITY SERVICES, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5811 BERKMAN DR
SUITE 132
AUSTIN, TX
ZIP 78723
Phone: (512) 809-1695
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INNER CITY COMMUNITY SERVICES, INC. is a professional counselor in Austin, TX. INNER CITY COMMUNITY SERVICES, INC. NPI is 1295053304. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5811 BERKMAN DR
SUITE 132
AUSTIN, TX
ZIP 78723-666
Phone: (512) 809-1695
Fax: (206) 337-7327

The provider's authorized official is Mitchell Edwards .
The authorized official title is President and has the following contact phone number (512) 809-1695.

The enumeration date for this NPI number is 5/13/2010 and was last updated on 5/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional63484TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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