MEDICARE: CHIRSTI AUSTIN LPC

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

General Provider Information

NPI Number	:	1811718984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIRSTI AUSTIN LPC

Provider Business Mailing Address
First Line	:	10164 MAGNOLIA RD
Second Line	:
City	:	IRVINGTON
State	:	AL
Zip	:	36544-3520
Country	:	US
Telephone Number	:	251-604-6943
Fax Number	:

Provider Business Practice Location Address
First Line	:	7268 COTTAGE HILL RD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36695-2825
Country	:	US
Telephone Number	:	251-308-6838
Fax Number	:

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

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	03/24/2026

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