Healthcare Provider Details

I. General information

NPI: 1336019983
Provider Name (Legal Business Name): HARRISON PARET LPC-ASSOCIATE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JACE UDELL LPC-ASSOCIATE

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 MENCHACA RD STE 205
AUSTIN TX
78748-5373
US

IV. Provider business mailing address

8700 MENCHACA RD STE 205
AUSTIN TX
78748-5373
US

V. Phone/Fax

Practice location:
  • Phone: 346-643-0039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number96949
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number96949
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: