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NPI Code Detail

MEDICARE: LISTENING ROOM WELLNESS PLLC

MEDICARE: LISTENING ROOM WELLNESS 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548972805
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISTENING ROOM WELLNESS PLLC
Provider Business Mailing Address
First Line : 7011 TESORO TRL
Second Line :
City : AUSTIN
State : TX
Zip : 78729-7834
Country : US
Telephone Number : 512-783-4508
Fax Number :
Provider Business Practice Location Address
First Line : 11824 JOLLYVILLE RD STE 103
Second Line :
City : AUSTIN
State : TX
Zip : 78759-2318
Country : US
Telephone Number : 512-783-4508
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : STEVEN IRSAY
Credential : LPC
Telephone Number : 512-783-4508
Provider Enumeration Date : 12/19/2022
Last Update Date : 12/19/2022

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Directions to “LISTENING ROOM WELLNESS PLLC ” Practice Location

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