Healthcare Provider Details

I. General information

NPI: 1316504889
Provider Name (Legal Business Name): JESSICA LEIGH BADILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA LEIGH SAWINSKI

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9011 MOUNTAIN RIDGE DR
AUSTIN TX
78759-7369
US

IV. Provider business mailing address

9011 MOUNTAIN RIDGE DR
AUSTIN TX
78759-7369
US

V. Phone/Fax

Practice location:
  • Phone: 512-578-8070
  • Fax:
Mailing address:
  • Phone: 512-578-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: