Provider Demographics
NPI:1558941682
Name:QUANTUM REFLECTIONS THERAPY PLLC
Entity Type:Organization
Organization Name:QUANTUM REFLECTIONS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUPEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT ASSOCIATE
Authorized Official - Phone:512-609-0001
Mailing Address - Street 1:2823 E MARTIN LUTHER KING JR BLVD APT 1330
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-0033
Mailing Address - Country:US
Mailing Address - Phone:512-420-3660
Mailing Address - Fax:
Practice Address - Street 1:2823 E MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-1542
Practice Address - Country:US
Practice Address - Phone:512-609-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty