Organization
AUSTIN MIND BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ROY LPC (OWNER)
(512) 999-9999
Entity
Organization
Contact information
Practice address
905 E. 5TH STREET, SUITE 102, AUSTIN, TX 78702
(512) 999-9999
Mailing address
905 E. 5TH STREET, SUITE 102, AUSTIN, TX 78702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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