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PSYCH ETCETERA LLC NPI 1962164855


NPI Information

NPI: 1962164855
Provider Name: PSYCH ETCETERA LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5900 BALCONES DR STE 100
AUSTIN, TX
ZIP 78731
Phone: (713) 927-0145
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PSYCH ETCETERA LLC is a multi-specialty clinic center in Austin, TX. PSYCH ETCETERA LLC NPI is 1962164855. The provider is registered as an organization entity type.

The provider's business location address is:

5900 BALCONES DR STE 100
AUSTIN, TX
ZIP 78731-298
Phone: (713) 927-0145

The provider's authorized official is Reginald Graves .
The authorized official title is Managing Member and has the following contact phone number (713) 927-0145.

The enumeration date for this NPI number is 10/8/2021 and was last updated on 10/8/2021.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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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