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Organization

THE UNIVERSITY OF TEXAS AT AUSTIN

Active
Parent organization
THE UNIVERSITY OF TEXAS AT AUSTIN
Other names
Counseling and Mental Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE UNIVERSITY OF TEXAS AT AUSTIN
Authorized official
MS. TERRI BOHUSLAV (ASSOCIATE DIRECTOR, BUSINESS SERVIC)
(512) 232-1736
Entity
Organization

Contact information

Practice address
100 W DEAN KEETON ST., AUSTIN, TX 78712
(512) 471-3515
(512) 471-0680
Mailing address
100 W DEAN KEETON ST., SUITE 2.106, AUSTIN, TX 78712
(512) 471-0680

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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