Provider Demographics
NPI:1336016112
Name:ATX TRAUMA & GRIEF THERAPY
Entity type:Organization
Organization Name:ATX TRAUMA & GRIEF THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-A
Authorized Official - Phone:737-333-9135
Mailing Address - Street 1:3005 S LAMAR BLVD STE 109D
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-4785
Mailing Address - Country:US
Mailing Address - Phone:512-764-1152
Mailing Address - Fax:
Practice Address - Street 1:2210 ONION CREEK PKWY UNIT 1104
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-1497
Practice Address - Country:US
Practice Address - Phone:512-764-1152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health