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WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE NPI 1396480836


NPI Information

NPI: 1396480836
Provider Name: WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7000 N MOPAC EXPY STE 200
AUSTIN, TX
ZIP 78731
Phone: (512) 651-3575
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WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE is a mental health counselor in Austin, TX. WATERSHED GROUP OF AUSTIN DBA LIFEOLOGIE NPI is 1396480836. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7000 N MOPAC EXPY STE 200
AUSTIN, TX
ZIP 78731-013
Phone: (512) 651-3575

The provider's authorized official is Ly Tran .
The authorized official title is Owner and has the following contact phone number (512) 651-3575.

The enumeration date for this NPI number is 4/29/2022 and was last updated on 4/29/2022.


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
1101YM0800XCounselorMental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.