Organization
ORGANIC MENTAL HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI FOULKROD MS, LPA, LPC (OWNER)
(512) 200-3359
Entity
Organization
Contact information
Practice address
1006 S 8TH ST, AUSTIN, TX 78704-2367
(512) 200-3359
Mailing address
PO BOX 493, DEL VALLE, TX 78617-0493
(512) 264-4755
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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