11 Eleven Wellness Co.
Counselor, Mental Health in Austin, TX. Organization (NPI-2).
NPI number1780582486
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1780582486
- Entity type
- Organization (NPI-2)
- Legal business name
- 11 Eleven Wellness Co.
- Organization subpart
- No
- Enumeration date
- Oct 30, 2026
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 103G00000X | Clinical Neuropsychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone 832-594-6916
Mailing address
5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone 832-594-6916
Authorized official
Quinella Annette Minix
Director/Co-Founder
8325946916
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