Healthcare Provider Details

I. General information

NPI: 1548990732
Provider Name (Legal Business Name): ALLIE URUCHA PARTYKA LPC, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
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

8700 MENCHACA RD STE 605
AUSTIN TX
78748-5377
US

V. Phone/Fax

Practice location:
  • Phone: 737-201-8797
  • Fax:
Mailing address:
  • Phone: 512-265-6566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number93942
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16851
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: