PROVIDENCE SERVICE CORPORATION OF TEXAS NPI 1215007141

NPI Information

NPI: 1215007141
Provider Name: PROVIDENCE SERVICE CORPORATION OF TEXAS

Former Legal Business Name: PROVIDENCE SERVICE CORPORATION OF TEXAS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1524 S. IH35
SUITE 210
AUSTIN, TX
ZIP 78704
Phone: (512) 343-8606
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PROVIDENCE SERVICE CORPORATION OF TEXAS is a mental health (including community mental health center) clinic center in Austin, TX. PROVIDENCE SERVICE CORPORATION OF TEXAS NPI is 1215007141. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Providence Service Corporation Of Texas.

The provider's business location address is:

1524 S. IH35
SUITE 210
AUSTIN, TX
ZIP 78704
Phone: (512) 343-8606
Fax: (512) 343-8620

The provider's authorized official is Tina Wier .
The authorized official title is Billing Coordinator and has the following contact phone number (512) 343-8606.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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