MEDICARE: NESTING PLACE THERAPY LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1831988872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESTING PLACE THERAPY LLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:	832-617-6904
Fax Number	:

Provider Business Practice Location Address
First Line	:	25700 INTERSTATE 45 N STE 4056
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1364
Country	:	US
Telephone Number	:	832-617-6904
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER THERAPIST
Name	:	AMANDA HEIJ
Credential	:	LCSW
Telephone Number	:	832-617-6904

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

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