Healthcare Provider Details

I. General information

NPI: 1548000607
Provider Name (Legal Business Name): ANDREA DURAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 S 1ST ST APT 310
AUSTIN TX
78704-1136
US

IV. Provider business mailing address

5900 BALCONES DR STE 20116
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 512-507-3874
  • Fax:
Mailing address:
  • Phone: 737-378-8446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number95148
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: