Organization
AUSTINMINDBODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ROY LPC (OWNER)
(512) 344-9181
Entity
Organization
Contact information
Practice address
902 E 5TH ST, AUSTIN, TX 78702-3857
(512) 344-9181
Mailing address
902 E 5TH ST, AUSTIN, TX 78702-3857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73049
TX
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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