# BRUISED APPLES MENTORING PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bruised Apples Holistic Counseling Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619334588
- **Authorized official:** MR. DONALD CRAIG ELLERBE LCDC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (832) 512-0355

## Contact information

- **Practice address:** 2101 E BEN WHITE BLVD, BUILDING 8, SUITE 800, AUSTIN, TX 78741-6922
- **Practice address phone:** (832) 512-0355
- **Mailing address:** PO BOX 152292, AUSTIN, TX 78715-2292
- **Mailing address phone:** (832) 512-0355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2016
- **Last updated:** 01/24/2016