Organization
GWYNN MENTAL HEALTH SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA GWYNN LMHP-R (OWNER)
(713) 714-1562
Entity
Organization
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(713) 714-1562
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(713) 714-1562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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