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Organization
THE UNIVERSITY OF TEXAS AT AUSTIN
Active
Organization
THE UNIVERSITY OF TEXAS AT AUSTIN
Active
Parent organization
THE UNIVERSITY OF TEXAS AT AUSTIN
Other names
Counseling and Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE UNIVERSITY OF TEXAS AT AUSTIN
Authorized official
MS. TERRI BOHUSLAV (ASSOCIATE DIRECTOR, BUSINESS SERVIC)
(512) 232-1736
Entity
Organization
Contact information
Practice address
100 W DEAN KEETON ST., AUSTIN, TX 78712
(512) 471-3515
(512) 471-0680
Mailing address
100 W DEAN KEETON ST., SUITE 2.106, AUSTIN, TX 78712
(512) 471-0680
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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