Provider Demographics
NPI:1457199820
Name:BROWN, AUSTIN (LMFT, LPC)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9448 RED RIVER DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3239
Mailing Address - Country:US
Mailing Address - Phone:254-307-0050
Mailing Address - Fax:
Practice Address - Street 1:209 OLD HEWITT RD STE 3
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6599
Practice Address - Country:US
Practice Address - Phone:254-307-0050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78397101YP2500X
TX202000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional