Provider Demographics
NPI: | 1083123582 |
---|---|
Name: | AUSTIN EDUCATION |
Entity type: | Organization |
Organization Name: | AUSTIN EDUCATION |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LESLIE |
Authorized Official - Middle Name: | LEBRAD |
Authorized Official - Last Name: | AUSTIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCDC,LPC |
Authorized Official - Phone: | 281-463-9292 |
Mailing Address - Street 1: | 18062 FM 529 RD UNIT 130 |
Mailing Address - Street 2: | |
Mailing Address - City: | CYPRESS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77433-1168 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 18062 FM 529 RD UNIT 130 |
Practice Address - Street 2: | |
Practice Address - City: | CYPRESS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77433-1168 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-463-9292 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-09-27 |
Last Update Date: | 2025-03-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty |