Provider Demographics
NPI:1932834371
Name:EMH CENTRAL NW AUSTIN CLINIC PLLC
Entity Type:Organization
Organization Name:EMH CENTRAL NW AUSTIN CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAW
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:936-635-5634
Mailing Address - Street 1:4917 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4735
Mailing Address - Country:US
Mailing Address - Phone:512-658-8385
Mailing Address - Fax:
Practice Address - Street 1:4917 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4735
Practice Address - Country:US
Practice Address - Phone:512-658-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty