MEDICARE: AUSTIN PARSONS M.A., LPC-S

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	101YP2500X	Professional Counselor	71888	TX

General Provider Information

NPI Number	:	1780221465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN PARSONS M.A., LPC-S

Provider Business Mailing Address
First Line	:	10213 BUSTER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-4112
Country	:	US
Telephone Number	:	214-675-9671
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 AUSTIN CENTER BLVD STE 210
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3131
Country	:	US
Telephone Number	:	214-675-9671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	03/13/2021

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