Healthcare Provider Details

I. General information

NPI: 1477470300
Provider Name (Legal Business Name): COLE SAWIRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 W 6TH ST STE A
AUSTIN TX
78703-5059
US

IV. Provider business mailing address

3810 FOREST CREEK DR
ROUND ROCK TX
78664-6283
US

V. Phone/Fax

Practice location:
  • Phone: 512-222-6960
  • Fax:
Mailing address:
  • Phone: 512-784-6439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number102632
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: