Organization
SHANTI PATH BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI P ARADHYULA LCSW (MEMBER/MANAGER)
(512) 240-2971
Entity
Organization
Contact information
Practice address
12856 N HWY 183, STE B, AUSTIN, TX 78750
(512) 666-0516
Mailing address
12856 N HWY 183, STE B #2026, AUSTIN, TX 78750
(512) 666-0516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/11/2024
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