NPI Code Details Logo

NPI 1053275024

NPI 1053275024 : QUALITY OF BEING, LLC : AUSTIN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1053275024
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    QUALITY OF BEING, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2025
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2205 CADIZ CIR 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78741-7030
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    917-340-2637
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2205 CADIZ CIR 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78741-7030
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    917-340-2637
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    THERAPIST
-----------------------------------------------------
    Name                 |     RYAN DAVID CHENEY 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    917-340-2637
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0801X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.