Healthcare Provider Details

I. General information

NPI: 1902183577
Provider Name (Legal Business Name): THE TIMOTHY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11754 JOLLYVILLE RD STE 110
AUSTIN TX
78759-3948
US

IV. Provider business mailing address

11754 JOLLYVILLE RD STE 110
AUSTIN TX
78759-3948
US

V. Phone/Fax

Practice location:
  • Phone: 512-331-2700
  • Fax: 512-219-5097
Mailing address:
  • Phone: 512-331-2700
  • Fax: 512-219-5097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number63765
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JIMMY KYLE MYERS
Title or Position: OWNER AND OPERATOR
Credential: PHD, LPC-S
Phone: 512-331-2700