Healthcare Provider Details

I. General information

NPI: 1932012820
Provider Name (Legal Business Name): STEFANIE ELYSE AUSTIN MBA, CMPE, CSPPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16004 WEYMOUTH DR
FRISCO TX
75036-6279
US

IV. Provider business mailing address

5570 FM 423 STE 250-2049
FRISCO TX
75036-8980
US

V. Phone/Fax

Practice location:
  • Phone: 704-936-9256
  • Fax:
Mailing address:
  • Phone: 704-936-9256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: