MICHAEL MAHAN LCSW, LCDC
NPI 1730634072
Counselor - Addiction (Substance Use Disorder) in Austin, TX
Active since August 16, 2016
About Michael Mahan Lcsw, Lcdc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL MAHAN LCSW, LCDC (NPI 1730634072) is an individual addiction (substance use disorder) provider in Austin, Texas, licensed in Texas (11603) and active in the NPI registry since August 2016.
NPPES Registry Identity
NPI1730634072
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL MAHANCredential: LCSW, LCDC
Location Address6633 E HIGHWAY 290, SUITE 212Austin, TX 78723-1172
Mailing Address6633 E Highway 290, Suite 212Austin, TX 78723-1172 · (512) 342-1718
Phone(512) 342-1718
Sole ProprietorYes
Enumeration DateAugust 16, 2016
✔ NPI 1730634072 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 11603
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 55657 (TX)
6633 E HIGHWAY 290, Austin, TX 78723
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
6633 E HIGHWAY 290, SUITE 303
AUSTIN, TX 78723
AUSTIN, TX 78723
Psychologist (Cognitive & Behavioral)
6633 E HIGHWAY 290, SUITE 300
AUSTIN, TX 78723
AUSTIN, TX 78723
Nursing Facility/Intermediate Care Facility
6633 E HIGHWAY 290, SUITE # 202
AUSTIN, TX 78723
AUSTIN, TX 78723
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730634072, enumerated as an "individual" on August 16, 2016.
The provider is located at 6633 E HIGHWAY 290 SUITE 212 AUSTIN, TX 78723 and the phone number is (512) 342-1718.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
