Healthcare Provider Details

I. General information

NPI: 1093828485
Provider Name (Legal Business Name): CREEKSIDE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 STECK AVE SUITE 100
AUSTIN TX
78757-7566
US

IV. Provider business mailing address

3215 STECK AVE SUITE 100
AUSTIN TX
78757-7566
US

V. Phone/Fax

Practice location:
  • Phone: 512-452-2929
  • Fax:
Mailing address:
  • Phone: 512-452-2929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number41218
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM STREUSAND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-452-2929