Healthcare Provider Details

I. General information

NPI: 1285559047
Provider Name (Legal Business Name): ERIN HAAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REN HAAS

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 RIVER ST
AUSTIN TX
78701-4900
US

IV. Provider business mailing address

700 RIVER ST
AUSTIN TX
78701-4900
US

V. Phone/Fax

Practice location:
  • Phone: 737-237-0652
  • Fax:
Mailing address:
  • Phone: 914-346-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103156
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: