Organization
SANDWYCH, INC.
Active
Organization
SANDWYCH, INC.
Active
Other names
Sandwych Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BLAKELY LAINE (CEO)
(512) 617-3200
Entity
Organization
Contact information
Practice address
919 CONGRESS AVE STE 1400, AUSTIN, TX 78701-2114
(512) 617-3200
Mailing address
919 CONGRESS AVE STE 1400, AUSTIN, TX 78701-2114
(512) 617-3200
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/12/2023
Last updated
11/21/2025
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