Healthcare Provider Details

I. General information

NPI: 1245195882
Provider Name (Legal Business Name): CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES 'YOU TALK'
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR # 27342
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR # 27342
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 737-406-6336
  • Fax:
Mailing address:
  • Phone: 737-406-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OKSANA VASILYEVNA PANCHENKO
Title or Position: MANAGING MEMEBER
Credential: LPC
Phone: 737-406-6336