Provider Demographics
NPI:1922386499
Name:AUSTIN COUNSELING & EVALUATION, LLP
Entity Type:Organization
Organization Name:AUSTIN COUNSELING & EVALUATION, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLAN-HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-219-8828
Mailing Address - Street 1:11675 JOLLYVILLE RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-3939
Mailing Address - Country:US
Mailing Address - Phone:512-219-8828
Mailing Address - Fax:512-219-8838
Practice Address - Street 1:11675 JOLLYVILLE RD
Practice Address - Street 2:SUITE 111
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-3939
Practice Address - Country:US
Practice Address - Phone:512-219-8828
Practice Address - Fax:512-219-8838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12630101Y00000X
TX12295101Y00000X
TX13219101YP2500X
TX32557103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty