MEDICARE: TRAUMA COACHING AND TRAINING CENTER

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1578427811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAUMA COACHING AND TRAINING CENTER

Provider Business Mailing Address
First Line	:	12501 TECH RIDGE BLVD APT 616
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-1134
Country	:	US
Telephone Number	:	512-743-9898
Fax Number	:

Provider Business Practice Location Address
First Line	:	12501 TECH RIDGE BLVD APT 616
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-1134
Country	:	US
Telephone Number	:	512-743-9898
Fax Number	:

Authorized Official
Title or Position	:	TRAUMA INFORMED CARE PRACTITIONER
Name	:	MR. TWASKI SEAN SIMMONS
Credential	:	PRACTITIONER
Telephone Number	:	512-743-9898

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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