| Austin Center For Therapy And Assessment | |
|
8103 Brodie Ln Suite 1 Austin TX 78745-7473 | |
| (512) 608-1166 | |
| (512) 448-0499 |
| Full Name | Austin Center For Therapy And Assessment |
|---|---|
| Speciality | Counselor |
| Location | 8103 Brodie Ln, Austin, Texas |
| Authorized Official Name and Position | Aron X Bautista (OWNER) |
| Authorized Official Contact | 5126081165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Center For Therapy And Assessment 8103 Brodie Ln Suite 1 Austin TX 78745-7473 Ph: (512) 608-1166 | Austin Center For Therapy And Assessment 8103 Brodie Ln Suite 1 Austin TX 78745-7473 Ph: (512) 608-1166 |
| NPI Number | 1154525509 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648588061 |
|---|---|
| Medicare Enrollment ID | O20151006000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154525509 | NPI | - | NPPES |
| 19839 | Other | TX | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 19839 (Texas) | Primary |
| Provider Name | James R Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174565006 PECOS PAC ID: 2062589070 Enrollment ID: I20080917000236 |
| Provider Name | Nancy P Craig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134384712 PECOS PAC ID: 9638315229 Enrollment ID: I20130427000026 |
| Provider Name | Wayne C Dees |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275526949 PECOS PAC ID: 4486610979 Enrollment ID: I20140807000793 |
| Provider Name | Jessica Woods |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477109205 PECOS PAC ID: 6901201615 Enrollment ID: I20210818002706 |
| Provider Name | Leslie Rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740956184 PECOS PAC ID: 3375940026 Enrollment ID: I20210922002005 |
| Provider Name | Joshua Marbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194458018 PECOS PAC ID: 5799167920 Enrollment ID: I20220803003210 |
| Provider Name | Jessica Hinojosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386252153 PECOS PAC ID: 2365892551 Enrollment ID: I20240101000026 |
| Provider Name | Wendy Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992945521 PECOS PAC ID: 7719337906 Enrollment ID: I20240101000038 |
| Provider Name | Tara Lehew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164552188 PECOS PAC ID: 7618327800 Enrollment ID: I20240101000070 |
| Provider Name | Aron Bautista |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821258047 PECOS PAC ID: 9436467750 Enrollment ID: I20240101000096 |
| Provider Name | Daniela Castano Estrada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760142236 PECOS PAC ID: 8426408618 Enrollment ID: I20240101000116 |
| Provider Name | Michaela Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790474542 PECOS PAC ID: 6800247271 Enrollment ID: I20240110001733 |
| Provider Name | Jennifer Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669128864 PECOS PAC ID: 9537508882 Enrollment ID: I20240418003318 |
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