Organization
ORGANIC MENTAL HEALTH CENTER, PLLC
Active
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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