NPI 1053912477 · live from the CMS NPI Registry
Acacia Psychological Corporation
Psychologist in Austin, TX. National Provider Identifier 1053912477, active.
NPI record
| NPI | 1053912477 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 5900 Balcones Dr Ste 100, Austin, TX 78731 |
| Practice phone | 888-699-4873 |
| Mailing address | 281 Magnolia Ave Ste 300, Goleta, CA 93117 |
| Enumerated | November 3, 2020 |
| Last updated | November 3, 2020 |
| Authorized official | Harlan Higginbotham, Ceo/Co-Owner |
| Other names | Acacia Counseling And Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.