BRUISED APPLES MENTORING PROGRAM NPI 1619334588

NPI Information

NPI: 1619334588
Provider Name: BRUISED APPLES MENTORING PROGRAM

Doing Business As: BRUISED APPLES HOLISTIC COUNSELING CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2101 E BEN WHITE BLVD
BUILDING 8, SUITE 800
AUSTIN, TX
ZIP 78741
Phone: (832) 512-0355
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BRUISED APPLES MENTORING PROGRAM is an addiction (substance use disorder) counselor in Austin, TX. BRUISED APPLES MENTORING PROGRAM NPI is 1619334588. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bruised Apples Holistic Counseling Center.

The provider's business location address is:

2101 E BEN WHITE BLVD
BUILDING 8, SUITE 800
AUSTIN, TX
ZIP 78741-922
Phone: (832) 512-0355

The provider's authorized official is Donald Craig Ellerbe .
The authorized official title is Chief Executive Officer and has the following contact phone number (832) 512-0355.

The enumeration date for this NPI number is 1/24/2016 and was last updated on 1/24/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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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