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Organization

PROVIDING JUSTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BRAXTON LCDC (OWNER)
(512) 262-8242
Entity
Organization

Contact information

Practice address
1212 E ANDERSON LN STE 500, AUSTIN, TX 78752-1762
(512) 262-8242
Mailing address
3712 FIELDFARE DR, PFLUGERVILLE, TX 78660-1774
(512) 262-8242

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker
251B00000X
Case Management Agency

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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