Provider Demographics
NPI:1285148205
Name:COLORS OF AUSTIN COUNSELING
Entity type:Organization
Organization Name:COLORS OF AUSTIN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-387-4221
Mailing Address - Street 1:5800 BERKMAN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2625
Mailing Address - Country:US
Mailing Address - Phone:713-553-6250
Mailing Address - Fax:
Practice Address - Street 1:5800 BERKMAN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2625
Practice Address - Country:US
Practice Address - Phone:512-829-8738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty