Healthcare Provider Details

I. General information

NPI: 1013799055
Provider Name (Legal Business Name): PROVIDING JUSTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FM 685 STE 620
PFLUGERVILLE TX
78660-7095
US

IV. Provider business mailing address

2600 GATTIS SCHOOL RD UNIT 405
ROUND ROCK TX
78664-2573
US

V. Phone/Fax

Practice location:
  • Phone: 512-262-8242
  • Fax:
Mailing address:
  • Phone: 512-262-8242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL SHIRON BRAXTON
Title or Position: OWNER
Credential: LCSW
Phone: 512-262-8242