Healthcare Provider Details

I. General information

NPI: 1033031679
Provider Name (Legal Business Name): DIRECT COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 SPICEWOOD SPRINGS RD STE 100
AUSTIN TX
78759-8598
US

IV. Provider business mailing address

10290 ALLIANCE RD
BLUE ASH OH
45242-0279
US

V. Phone/Fax

Practice location:
  • Phone: 512-902-3282
  • Fax: 512-535-3499
Mailing address:
  • Phone: 512-902-3282
  • Fax: 512-535-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: TEJHAS VYASS
Title or Position: DIRECTOR
Credential:
Phone: 732-993-4599