Provider Demographics
NPI:1518729433
Name:FINDING YOUR PEACE HEALING SPRINGS
Entity Type:Organization
Organization Name:FINDING YOUR PEACE HEALING SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNTONG
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, APRN
Authorized Official - Phone:512-337-2520
Mailing Address - Street 1:5900 BALCONES DR # 17779
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:512-337-2520
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR # 17779
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:512-337-2520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty