Provider Demographics
NPI:1619318821
Name:AUSTIN COUNSELING ASSOCIATES PLLC
Entity Type:Organization
Organization Name:AUSTIN COUNSELING ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:RIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-326-4040
Mailing Address - Street 1:1704 1/2 S CONGRESS AVE STE L
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-3557
Mailing Address - Country:US
Mailing Address - Phone:512-326-4040
Mailing Address - Fax:
Practice Address - Street 1:1704 1/2 S CONGRESS AVE
Practice Address - Street 2:SUITE L
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-3559
Practice Address - Country:US
Practice Address - Phone:512-326-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty