MEDICARE: BIRDSONG PSYCHOTHERAPY 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
1	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1548940596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRDSONG PSYCHOTHERAPY PLLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:	512-601-0450
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 MELLER GDNS
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78741-3920
Country	:	US
Telephone Number	:	832-643-5877
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS CELESTIE BAO-HAN NGUYEN
Credential	:	LCSW
Telephone Number	:	512-601-0450

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	07/01/2025

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