# AUSTIN TRAVIS COUNTY MHMR CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATCMHMR MR Service Coordination
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346377579
- **Authorized official:** DR. JAMES RUSSEL VAN NORMAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (512) 440-4021

## Contact information

- **Practice address:** 5225 N LAMAR BLVD, AUSTIN, TX 78751-1820
- **Practice address phone:** (512) 483-5800
- **Practice address fax:** (512) 483-5800
- **Mailing address:** PO BOX 3548, AUSTIN, TX 78764-3548
- **Mailing address phone:** (512) 445-7787
- **Mailing address fax:** (512) 440-4059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | NULL | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1335424-01 | — | TX |