MEDICARE: AUSTIN URBAN SANCTUARY, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1639012909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUSTIN URBAN SANCTUARY, PLLC

Provider Business Mailing Address
First Line	:	3818 SPICEWOOD SPRINGS RD STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8970
Country	:	US
Telephone Number	:	512-943-7868
Fax Number	:	512-857-4306

Provider Business Practice Location Address
First Line	:	3818 SPICEWOOD SPRINGS RD STE 201
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8970
Country	:	US
Telephone Number	:	512-943-7868
Fax Number	:	512-857-4306

Authorized Official
Title or Position	:	FOUNDER
Name	:	MS. ALISON CLAIRE ASHTON
Credential	:	LPC-S, LMFT-S
Telephone Number	:	512-943-7868

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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