Healthcare Provider Details

I. General information

NPI: 1982122230
Provider Name (Legal Business Name): IANDI CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HERITAGE CENTER CIR
ROUND ROCK TX
78664-4463
US

IV. Provider business mailing address

PO BOX 7064
ROUND ROCK TX
78683-7064
US

V. Phone/Fax

Practice location:
  • Phone: 512-582-3424
  • Fax:
Mailing address:
  • Phone: 512-766-0094
  • 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: INYENE ESSIEN UMOREN
Title or Position: PHYSICIAN
Credential: MD
Phone: 404-784-4753