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NPI Code Detail

MEDICARE: RESILIENT MIND STUDIO PLLC

MEDICARE: RESILIENT MIND STUDIO PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1477417954
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENT MIND STUDIO PLLC
Provider Business Mailing Address
First Line : 13785 RESEARCH BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1873
Country : US
Telephone Number : 214-836-3650
Fax Number :
Provider Business Practice Location Address
First Line : 13785 RESEARCH BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1873
Country : US
Telephone Number : 214-836-3650
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : STEPHEN O VEGA
Credential : LPC, LCDC
Telephone Number : 214-836-3650
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “RESILIENT MIND STUDIO PLLC ” Practice Location

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