Organization
SPROUTING BRANCH PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEISHA HOOTMAN PHD (PSYCHOLOGIST)
(512) 415-6647
Entity
Organization
Contact information
Practice address
1801 W KOENIG LN, AUSTIN, TX 78756-1208
(512) 831-7909
Mailing address
11919 MEADOWFIRE DR, AUSTIN, TX 78758-3318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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