Contigo Wellness Foundation

LBN: Contigo Wellness Foundation
Contigo Wellness Foundation is an health care organization with primary practice located at 111 Ramble Ln Ste 120 , Austin TX 78745-2281. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Contigo Wellness Foundation can be contacted via phone (512) 937-2640, or through Anzaldua, Diana via phone (512) 937-2640.

Contact Information

Primary practice address
111 Ramble Ln Ste 120 Austin TX 78745-2281
Phone: (512) 937-2640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anzaldua, Diana Licensed Clinical Social Worker (LCSW)
Phone: (512) 937-2640

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1487311858
LBN Legal business name Contigo Wellness Foundation
DBA Doing business as
Authorized official Anzaldua, Diana Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2021
Last updated Nov 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487311858 NPPES
Texas Other 123456 SELF-PAY

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