Provider Demographics
NPI:1457064750
Name:AUSTIN INCLUSIVE COUNSELING, PLLC
Entity Type:Organization
Organization Name:AUSTIN INCLUSIVE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHBURN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-294-8752
Mailing Address - Street 1:9901 BRODIE LANE
Mailing Address - Street 2:STE 160, PMB907
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748
Mailing Address - Country:US
Mailing Address - Phone:512-294-8752
Mailing Address - Fax:
Practice Address - Street 1:7707 SEMINARY RIDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5942
Practice Address - Country:US
Practice Address - Phone:512-294-8752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82245OtherLPC NUMBER