Healthcare Provider Details

I. General information

NPI: 1508773003
Provider Name (Legal Business Name): OLIVIA CALDER, MSN, APRN, PMHNP-BC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 WEST AVE
AUSTIN TX
78701-2020
US

IV. Provider business mailing address

1110 WEST AVE
AUSTIN TX
78701-2020
US

V. Phone/Fax

Practice location:
  • Phone: 737-510-7846
  • Fax:
Mailing address:
  • Phone:
  • 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: OLIVIA CALDER
Title or Position: MANAGING MEMBER
Credential: MSN, APRN, PMHNP-BC
Phone: 512-917-3307