Organization
AUSTIN THERAPY WISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACI E CARLTON LPC (OWNER)
(512) 788-6804
Entity
Organization
Contact information
Practice address
2222 WESTERN TRAILS BLVD STE 205, AUSTIN, TX 78745-1647
(512) 788-6804
(210) 598-1910
Mailing address
2222 WESTERN TRAILS BLVD STE 205, AUSTIN, TX 78745-1647
(512) 788-6804
(210) 598-1910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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