# AUTONOMY MOVEMENT LLC

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

## Provider details

- **NPI number:** 1740847417
- **Authorized official:** KIMBERLY GOULD FRY (OWNER)
- **Authorized official phone:** (512) 387-1398

## Contact information

- **Practice address:** 601 FARLEY DR, AUSTIN, TX 78753-3114
- **Practice address phone:** (512) 504-7381
- **Mailing address:** 6104 TOSCANA AVE, AUSTIN, TX 78724-6249
- **Mailing address phone:** (512) 387-1398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2019
- **Last updated:** 08/16/2021