<Unavail>

LBN: Deep Eddy Psychotherapy Management, Llc
<Unavail> is an health care organization with primary practice located at 508 Deep Eddy Ave. , Austin TX 78703. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty. Deep Eddy Psychotherapy Management, Llc can be contacted via phone (512) 956-6463, or through Olds, Glenn R. via phone (512) 217-9579.

Contact Information

Primary practice address
508 Deep Eddy Ave. Austin TX 78703
Phone: (512) 956-6463
Fax: (512) 428-8100
Website:
Map and Directions
Authorized official contact:
Name: Olds, Glenn R. PH.D.
Phone: (512) 217-9579

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 21274 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 34890 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 34301 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20938 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 33076 Texas

Profile Details

NPI number 1457740862
LBN Legal business name Deep Eddy Psychotherapy Management, Llc
DBA Doing business as <Unavail>
Authorized official Olds, Glenn R. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Dec 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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