Organization
AUSTIN REVIVE PLLC
Active
Other names
Austin Revive Therapy & Wellness, Austin Revive
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MULVIHILL (OWNER)
(281) 731-1465
Entity
Organization
Contact information
Practice address
1406 CAMP CRAFT RD STE 222, WEST LAKE HILLS, TX 78746-6556
(512) 481-2257
Mailing address
1406 CAMP CRAFT RD STE 222, WEST LAKE HILLS, TX 78746-6556
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/27/2021
Last updated
10/29/2021
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