Provider Demographics
NPI:1215375571
Name:AUSTIN CENTER FOR PSYCHOLOGICAL CARE, PA
Entity Type:Organization
Organization Name:AUSTIN CENTER FOR PSYCHOLOGICAL CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-956-8100
Mailing Address - Street 1:3721 EXECUTIVE CENTER DR
Mailing Address - Street 2:BLDG 11 STE.265
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1645
Mailing Address - Country:US
Mailing Address - Phone:512-964-1555
Mailing Address - Fax:512-870-9771
Practice Address - Street 1:3721 EXECUTIVE CENTER DR
Practice Address - Street 2:BLDG. 11 STE 265
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1645
Practice Address - Country:US
Practice Address - Phone:512-956-8100
Practice Address - Fax:512-870-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health