REBEL IN BLOOM PLLC NPI 1497399026

NPI Information

  • NPI: 1497399026
  • Provider Name: REBEL IN BLOOM, PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2525 SOUTH LAMAR BLVD, STE 15
    AUSTIN, TX
    ZIP 78704
  • Phone: (512) 920-5317

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NPI Details

REBEL IN BLOOM, PLLC is an adult mental health clinic center in Austin, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. REBEL IN BLOOM, PLLC NPI is 1497399026. The provider is registered as an organization entity type.

The provider's business location address is:

2525 SOUTH LAMAR BLVD, STE 15
AUSTIN, TX
ZIP 78704-789
Phone: (512) 920-5317
Fax: (512) 920-5317

The provider's authorized official is Natalia Lux Amari .
The authorized official title is Owner/psychotherapist and has the following contact phone number (512) 920-5317.

The enumeration date for this NPI number is 11/6/2019 and was last updated on 11/6/2019.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 3/30/2025

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