Individual
AUTUMN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5473 BLAIR RD STE 100, DALLAS, TX 75231-4227
(972) 779-5486
Mailing address
5473 BLAIR RD STE 100, PMB 184854, DALLAS, TX 75231-4227
(614) 512-2650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101552
TX
Other
Enumeration date
02/06/2026
Last updated
03/16/2026
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