Healthcare Provider Details
I. General information
NPI: 1306724109
Provider Name (Legal Business Name): JOSHUA STEVE URIAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1213 W SLAUGHTER LN STE 130
AUSTIN TX
78748-6904
US
IV. Provider business mailing address
3005 SIX GUN TRL
AUSTIN TX
78748-1921
US
V. Phone/Fax
- Phone: 512-201-4501
- Fax:
- Phone: 512-567-4445
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: