# ENTEAVE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093363962
- **Authorized official:** ADAM PAINE LCSW (OWNER/PSYCHOTHERAPIST)
- **Authorized official phone:** (512) 748-6127

## Contact information

- **Practice address:** 8500 N MOPAC EXPY STE 604, AUSTIN, TX 78759-8347
- **Practice address phone:** (512) 350-6236
- **Practice address fax:** (512) 792-4862
- **Mailing address:** 9631 COVEY RIDGE LN, AUSTIN, TX 78758-5818
- **Mailing address phone:** (512) 748-6127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 09/03/2019
- **Last updated:** 03/31/2022