Provider Demographics
NPI:1285936898
Name:AUSTIN STILLPOINT PSYCHOTHERAPY
Entity type:Organization
Organization Name:AUSTIN STILLPOINT PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-767-0685
Mailing Address - Street 1:1908 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-2820
Mailing Address - Country:US
Mailing Address - Phone:512-767-0685
Mailing Address - Fax:
Practice Address - Street 1:2401 E 6TH ST
Practice Address - Street 2:STE. 2017
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-3955
Practice Address - Country:US
Practice Address - Phone:512-767-0685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX422931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty