Organization · Type 2 NPI

Lutheran Social Services of the South, Inc.

Professional Counselor · Austin, TX

NPI number 1669084943 Active

Practice location

10601 Derecho Drive
Austin, TX 78737-1013

Call (512) 459-1000 Map

Fax (512) 706-7576

Mailing address

8305 Cross Park Drive
Austin, TX 78754-5154

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

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NPI record

NPI: 1669084943
Entity type: Organization (Type 2)
Issued: Aug 19, 2020
Last updated: Aug 19, 2020
Status: Active
Subpart: Yes of Lutheran Social Services of the South

Other names

Upbring - DMST Austin · doing business as

Authorized official

Ms. Krystale Bezio, MSW, LCPAA
Chief Program Officer
(512) 459-1000

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About NPI 1669084943

Lutheran Social Services of the South, Inc.'s National Provider Identifier is 1669084943, issued on Aug 19, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Aug 19, 2020.