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Organization

AUSTIN WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA BLACKWOOD LCDC, LPC (PRESIDENT AND OWNER)
(512) 257-0050
Entity
Organization

Contact information

Practice address
10010 ANDERSON MILL RD, AUSTIN, TX 78750-2127
(512) 257-0050
(512) 257-0050
Mailing address
10010 ANDERSON MILL RD, AUSTIN, TX 78750-2127
(512) 257-0050
(512) 257-0050

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
09/24/2008
Last updated
09/24/2008
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