Provider Demographics
NPI:1114466364
Name:SHALOM AUSTIN
Entity Type:Organization
Organization Name:SHALOM AUSTIN
Other - Org Name:JEWISH FAMILY SERVICE OF AUSTIN
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-735-8124
Mailing Address - Street 1:11940 JOLLYVILLE ROAD
Mailing Address - Street 2:STE 110S
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-2327
Mailing Address - Country:US
Mailing Address - Phone:512-250-1043
Mailing Address - Fax:512-257-7179
Practice Address - Street 1:11940 JOLLYVILLE ROAD
Practice Address - Street 2:STE 110S
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2327
Practice Address - Country:US
Practice Address - Phone:512-250-1043
Practice Address - Fax:512-257-7179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty