Healthcare Provider Details

I. General information

NPI: 1992667067
Provider Name (Legal Business Name): CHRISTINA DAOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 MENCHACA RD STE 404
AUSTIN TX
78748-5375
US

IV. Provider business mailing address

8700 MENCHACA RD STE 404
AUSTIN TX
78748-5375
US

V. Phone/Fax

Practice location:
  • Phone: 512-655-3104
  • Fax:
Mailing address:
  • Phone: 512-655-3104
  • Fax: 833-955-3628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number95666
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: