Spicewood Outpatient LLC
Clinic/Center, Adult Mental Health in Austin, TX. Organization (NPI-2).
NPI number1467308452
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1467308452
- Entity type
- Organization (NPI-2)
- Legal business name
- Spicewood Outpatient LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2026
- Certification date
- Mar 10, 2026
- Last updated
- Mar 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
4807 Spicewood Springs Rd Ste 1235Austin, TX 78759-8478
Phone 210-860-2443 · Fax 737-221-2477
Mailing address
4807 Spicewood Springs Rd Ste 1235Austin, TX 78759-8478
Phone 210-860-2443 · Fax 737-221-2477
Authorized official
Joe Roller
Clinical Director
5129687402
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