Healthcare Provider Details

I. General information

NPI: 1902746043
Provider Name (Legal Business Name): AXOLOTL MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 MIDDLE CRK
BUDA TX
78610-2765
US

IV. Provider business mailing address

431 MIDDLE CRK
BUDA TX
78610-2765
US

V. Phone/Fax

Practice location:
  • Phone: 214-738-8712
  • Fax:
Mailing address:
  • Phone: 214-738-8712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY POINSETT
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 214-738-8712