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LIFE SUPPORT COUNSELING AND RESEARCH NPI 1679791677


NPI Information

NPI: 1679791677
Provider Name: LIFE SUPPORT COUNSELING AND RESEARCH

Doing Business As: THERAPEUTIC FAMILY LIFE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1340 AIRPORT COMMERCE DRIVE STE 480
AUSTIN, TX
ZIP 78741
Phone: (512) 451-7310
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LIFE SUPPORT COUNSELING AND RESEARCH is a mental health counselor in Austin, TX. LIFE SUPPORT COUNSELING AND RESEARCH NPI is 1679791677. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Therapeutic Family Life.

The provider's business location address is:

1340 AIRPORT COMMERCE DRIVE STE 480
AUSTIN, TX
ZIP 78741
Phone: (512) 451-7310
Fax: (512) 451-0394

The provider's authorized official is Leon Smith .
The authorized official title is Executive Director and has the following contact phone number (512) 451-7310.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 12/6/2013.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1153602101MEDICAIDTEXAS
2080030201MEDICAIDTEXAS
3109348601MEDICAIDTEXAS
4109348602MEDICAIDTEXAS

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: 11/14/2023

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