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UPSIDE WELLNESS PLLC NPI 1336534882


NPI Information

NPI: 1336534882
Provider Name: UPSIDE WELLNESS, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3705 MEDICAL PKWY STE 520
AUSTIN, TX
ZIP 78705
Phone: (512) 900-5805
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UPSIDE WELLNESS, PLLC is a professional counselor in Austin, TX. UPSIDE WELLNESS, PLLC NPI is 1336534882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3705 MEDICAL PKWY STE 520
AUSTIN, TX
ZIP 78705-029
Phone: (512) 900-5805
Fax: (512) 287-4314

The provider's authorized official is Thomas Lane Ingram .
The authorized official title is Owner and has the following contact phone number (512) 900-5805.

The enumeration date for this NPI number is 4/1/2015 and was last updated on 4/1/2015.


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
1101YP2500XCounselorProfessional72859TEXASYes

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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