Healthcare Provider Details

I. General information

NPI: 1417844283
Provider Name (Legal Business Name): ERIN FASSNACHT LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706B W BEN WHITE BLVD # 180
AUSTIN TX
78704-7153
US

IV. Provider business mailing address

10013 ANAHUAC TRL
AUSTIN TX
78747-2667
US

V. Phone/Fax

Practice location:
  • Phone: 512-815-2521
  • Fax:
Mailing address:
  • Phone: 512-680-9529
  • 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: ERIN FASSNACHT
Title or Position: OWNER
Credential: LCSW-S
Phone: 512-680-9529