MEDICARE: JOHANNA AUSTIN-AZADI

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	106H00000X	Marriage & Family Therapist	202620	TX

General Provider Information

NPI Number	:	1992632731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA AUSTIN-AZADI

Provider Business Mailing Address
First Line	:	4711 FORT MOULTRIE LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5408
Country	:	US
Telephone Number	:	512-593-2465
Fax Number	:

Provider Business Practice Location Address
First Line	:	4711 FORT MOULTRIE LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78754-5408
Country	:	US
Telephone Number	:	512-593-2465
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ JOHANNA AUSTIN-AZADI ” Practice Location

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