Individual provider · Type 1 NPI

Latetra Savon Gilstrap

Mental Health Counselor · Austin, TX

NPI number 1174197602 Active

Practice location

100 Congress Ave Ste 2000
Austin, TX 78701-2745

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst 106E00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed
Behavior Technician 106S00000XNone listed

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About NPI 1174197602

Latetra Savon Gilstrap's National Provider Identifier is 1174197602, issued on May 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Sep 14, 2025.