Organization
CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES
Active
Organization
CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI D. WILSON LCDC (PROGRAM DIRECTOER)
(512) 385-4799
Entity
Organization
Contact information
Practice address
1700 MONTOPOLIS DR STE D, AUSTIN, TX 78741-5138
(512) 385-4799
Mailing address
1700 MONTOPOLIS DR STE D, AUSTIN, TX 78741-5138
(512) 385-4799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1920-1920 A
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065483201
—
TX
Enumeration date
12/12/2008
Last updated
01/05/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up