Healthcare Provider Details
I. General information
NPI: 1538029764
Provider Name (Legal Business Name): MILLION MIND THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 W BEN WHITE BLVD STE 210A
AUSTIN TX
78704-7182
US
IV. Provider business mailing address
5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US
V. Phone/Fax
- Phone: 737-471-4312
- Fax:
- Phone: 512-318-2199
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REBECCA
M
MILLION
Title or Position: OWNER
Credential: LPC
Phone: 737-471-4312