Provider Demographics
NPI:1700659034
Name:AUSTIN, AMINAH MICHELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:AMINAH
Middle Name:MICHELLE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 IH 35 APT 2214
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4848
Mailing Address - Country:US
Mailing Address - Phone:913-636-9283
Mailing Address - Fax:
Practice Address - Street 1:706 W BEN WHITE BLVD BLDG B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8124
Practice Address - Country:US
Practice Address - Phone:913-636-9283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111505104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker