Provider Demographics
NPI:1740959451
Name:CARLISLE COLLECTIVE
Entity type:Organization
Organization Name:CARLISLE COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-222-8551
Mailing Address - Street 1:2525 WALLINGWOOD DR BLDG 12
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6932
Mailing Address - Country:US
Mailing Address - Phone:512-522-4148
Mailing Address - Fax:
Practice Address - Street 1:2525 WALLINGWOOD DR BLDG 12
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6932
Practice Address - Country:US
Practice Address - Phone:512-222-8551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty