Healthcare Provider Details

I. General information

NPI: 1639012909
Provider Name (Legal Business Name): AUSTIN URBAN SANCTUARY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3818 SPICEWOOD SPRINGS RD STE 201
AUSTIN TX
78759-8970
US

IV. Provider business mailing address

3818 SPICEWOOD SPRINGS RD STE 201
AUSTIN TX
78759-8970
US

V. Phone/Fax

Practice location:
  • Phone: 512-943-7868
  • Fax: 512-857-4306
Mailing address:
  • Phone: 512-943-7868
  • Fax: 512-857-4306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. ALISON CLAIRE ASHTON
Title or Position: FOUNDER
Credential: LPC-S, LMFT-S
Phone: 512-943-7868