Organization
THE AUSTIN PSYCHOTHERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY H EZELL LPC-S (OWNER)
(214) 957-0951
Entity
Organization
Contact information
Practice address
1015 BEECAVE WOODS DR, 208, AUSTIN, TX 78746-6762
(214) 957-0951
Mailing address
1015 BEECAVE WOODS DR, 208, AUSTIN, TX 78746-6762
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
65384
TX
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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