LIFE SUPPORT COUNSELING AND RESEARCH


Address: 1340 Airport Commerce Drive Ste 480, Austin, TX 78741
Phone: 5124517310

LIFE SUPPORT COUNSELING AND RESEARCH (NPI# 1679791677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679791677
Entity Type Organization
Organization Name LIFE SUPPORT COUNSELING AND RESEARCH
Other Organization Name THERAPEUTIC FAMILY LIFE
Practice Address 1340 Airport Commerce Drive Ste 480
Austin
TX 78741
Practice Telephone 5124517310
Practice Fax Number 5124510394
Mailing Telephone 5124517310
Mailing Fax Number 5124510394
Enumeration Date 2007-04-23
Last Update Date 2013-12-06
Authorized Official Name LEON SMITH (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5124517310
Authorized Official Credential LPC, LSOTP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 153602101 05
TX 109348602 05
TX 109348601 05
TX 080030201 05

Other Provider/Organization Names

Other Name Type Code
Therapeutic Family Life Doing Business As Name - Organization

Office Location

Street Address 1340 AIRPORT COMMERCE DRIVE STE 480
City AUSTIN
State TX
Zip Code 78741

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1003415068 Thomas Craig Saathoff Counselor 1616 Headway Cir, Austin, TX 78754-5106 2020-10-21
1699373746 Molly Roth Counselor 7703 N Lamar Blvd Ste 500, Austin, TX 78752-1055 2020-10-12
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1396350823 Natalie Hussung Schneider Counselor 7703 N Lamar Blvd Ste 340, Austin, TX 78752-1061 2020-09-11
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1366053563 Selena E Coburn Counselor 4424 Gaines Ranch Loop Apt 1434, Austin, TX 78735-6540 2020-08-11
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Competitor

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City AUSTIN
Zip Code 78741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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