WATER STONE FIRE DARKNESS PLLC
NPI 1427769181
Clinic/Center - Adult Mental Health in Cedar Park, TX

Active since December 13, 2022
3000 POLAR LN STE 602, CEDAR PARK, TX 78613(832) 465-0100 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2023, Dec 13, 2022 (2 updates tracked since 2022).

  • Organization
  • Clinic/Center
  • Adult Mental Health

About WATER STONE FIRE DARKNESS PLLC

This page provides the complete NPI Profile along with additional information for Water Stone Fire Darkness Pllc, a provider established in Cedar Park, Texas operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1427769181 assigned on December 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ryan Donovan Lpc (Clinician)

NPI
1427769181 Verify this NPI
Provider Name
WATER STONE FIRE DARKNESS PLLC
Entity Type
Organization
Location Address
3000 POLAR LN STE 602 CEDAR PARK, TX 78613
Location Phone
(832) 465-0100
Mailing Address
15409 FITZHUGH RD DRIPPING SPRINGS, TX 78620
Mailing Phone
(832) 465-0100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2022
Last Update Date
03-03-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN DONOVAN LPC

Authorized Official Title
CLINICIAN
Authorized Official Phone
(832) 465-0100

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
3000 POLAR LN STE 602
CEDAR PARK, TX 78613
Marriage & Family Therapist
3000 POLAR LN STE 602
CEDAR PARK, TX 78613
Counselor (Addiction (Substance Use Disorder))
3000 POLAR LN STE 602
CEDAR PARK, TX 78613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427769181, enumerated as an "organization" on December 13, 2022.

The provider is located at 3000 POLAR LN STE 602 CEDAR PARK, TX 78613 and the phone number is (832) 465-0100.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.