Organization
WISE MIND AUSTIN, PLLC
Active
Organization
WISE MIND AUSTIN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BRAKE MA, LMFT-S (OWNER)
(512) 665-3499
Entity
Organization
Contact information
Practice address
5008 RANCH ACRES DR, LOVELAND, CO 80538-1638
(512) 665-3499
Mailing address
2028E BEN WHITE BLVD, STE 240 PMB 3499, AUSTIN, TX 78741-6931
(512) 665-3499
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
01/25/2024
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