Provider Demographics
NPI:1992430516
Name:THE MISSING PEACE COUNSELING AND CONSULTATION PLLC
Entity type:Organization
Organization Name:THE MISSING PEACE COUNSELING AND CONSULTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CASTANEDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-877-4559
Mailing Address - Street 1:4022 MENCHACA RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6746
Mailing Address - Country:US
Mailing Address - Phone:512-877-4559
Mailing Address - Fax:
Practice Address - Street 1:4022 MENCHACA RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6746
Practice Address - Country:US
Practice Address - Phone:512-877-4559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty