Healthcare Provider Details

I. General information

NPI: 1023931649
Provider Name (Legal Business Name): EMILY HEIMBERGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6633 E HWY 290 STE 110
AUSTIN TX
78723-1157
US

IV. Provider business mailing address

302 SKYLOOP DR
AUSTIN TX
78745-4427
US

V. Phone/Fax

Practice location:
  • Phone: 512-657-7744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number92945
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: