Organization
AUTONOMY MOVEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOULD FRY (OWNER)
(512) 387-1398
Entity
Organization
Contact information
Practice address
601 FARLEY DR, AUSTIN, TX 78753-3114
(512) 504-7381
Mailing address
6104 TOSCANA AVE, AUSTIN, TX 78724-6249
(512) 387-1398
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
08/16/2021
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