Provider Demographics
NPI:1003641077
Name:WESTLAKE PSYCHOTHERAPY OF AUSTIN, PLLC
Entity type:Organization
Organization Name:WESTLAKE PSYCHOTHERAPY OF AUSTIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIMBORN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-573-3976
Mailing Address - Street 1:611 N CUERNAVACA DR UNIT 305
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-3297
Mailing Address - Country:US
Mailing Address - Phone:512-573-3976
Mailing Address - Fax:
Practice Address - Street 1:6806 BEE CAVES RD STE 1A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5051
Practice Address - Country:US
Practice Address - Phone:512-981-6018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty