Provider Demographics
NPI:1326791229
Name:KRISTIN ATKINSON, PLLC
Entity Type:Organization
Organization Name:KRISTIN ATKINSON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:512-766-6837
Mailing Address - Street 1:4425 S MOPAC EXPY BLDG 3 STE 600
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6757
Mailing Address - Country:US
Mailing Address - Phone:512-766-6837
Mailing Address - Fax:
Practice Address - Street 1:4425 S MOPAC EXPY BLDG 3 STE 600
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6757
Practice Address - Country:US
Practice Address - Phone:512-766-6837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health