MEDICARE: INLINE MIND, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1366371056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INLINE MIND, PLLC

Provider Business Mailing Address
First Line	:	1508 DESSAU RIDGE LN STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2190
Country	:	US
Telephone Number	:	512-553-1523
Fax Number	:

Provider Business Practice Location Address
First Line	:	1508 DESSAU RIDGE LN STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-2190
Country	:	US
Telephone Number	:	512-553-1523
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MEGAN JEAN YALE
Credential	:	LPC-S, LMFT-S, LCDC
Telephone Number	:	512-553-1523

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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