Healthcare Provider Details

I. General information

NPI: 1427825264
Provider Name (Legal Business Name): MENTAL ESSENCE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR # 22278
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR # 22278
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 469-224-3241
  • Fax:
Mailing address:
  • Phone: 469-224-3241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ACURA JANAE BLAYLOCK
Title or Position: CLINICAL MENTAL HEALTH COUNSELOR
Credential: MS, LPC
Phone: 469-224-3241