<Unavail>

LBN: Earle
<Unavail> is an health care organization with primary practice located at 4100 Avenue D , Austin TX 78751. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Earle can be contacted via phone (855) 553-2783, or through Earle, Charles Jason via phone (855) 553-2783.

Contact Information

Primary practice address
4100 Avenue D Austin TX 78751
Phone: (855) 553-2783
Fax: (855) 553-2783
Website:
Map and Directions
Authorized official contact:
Name: Earle, Charles Jason Licensed Clinical Social Worker (LCSW)
Phone: (855) 553-2783

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1518330554
LBN Legal business name Earle
DBA Doing business as <Unavail>
Authorized official Earle, Charles Jason Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2015
Last updated Jan 22nd, 2025 - about last year

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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