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Organization

AUSTIN STRONG: RELATIONSHIP BUILDING CENTER

Active
Parent organization
RODEOSUSHI LLC
Other names
Austin STRONG: Relationship Building Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
RODEOSUSHI LLC
Authorized official
KRISTAL DESANTIS MA, LMFT (CLINICAL DIRECTOR)
(512) 887-8036
Entity
Organization

Contact information

Practice address
1714 FORTVIEW RD STE 106A, AUSTIN, TX 78704-7659
(512) 887-8036
Mailing address
1714 FORTVIEW RD STE 106A, AUSTIN, TX 78704-7659
(512) 887-8036

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YS0200X
School Counselor
102L00000X
Psychoanalyst

Other

Enumeration date
07/10/2019
Last updated
07/21/2021
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