Organization
ENTEAVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM PAINE LCSW (OWNER/PSYCHOTHERAPIST)
(512) 748-6127
Entity
Organization
Contact information
Practice address
8500 N MOPAC EXPY STE 604, AUSTIN, TX 78759-8347
(512) 350-6236
(512) 792-4862
Mailing address
9631 COVEY RIDGE LN, AUSTIN, TX 78758-5818
(512) 748-6127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/03/2019
Last updated
03/31/2022
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