MEDICARE: AUSTIN MACKEY

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
1	101YM0800X	Mental Health Counselor	91382

General Provider Information

NPI Number	:	1497443212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN MACKEY

Provider Business Mailing Address
First Line	:	13059 FOUR STAR BLVD UNIT 2509
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-2680
Country	:	US
Telephone Number	:	409-659-9334
Fax Number	:

Provider Business Practice Location Address
First Line	:	13059 FOUR STAR BLVD UNIT 2509
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-2680
Country	:	US
Telephone Number	:	409-659-9334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2023
Last Update Date	:	01/21/2026

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Directions to “ AUSTIN MACKEY ” Practice Location

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