Provider Demographics
NPI:1053942219
Name:YOUNG WOMENS CHRISTIAN ASSOCIATION OF GREATER AUSTIN
Entity type:Organization
Organization Name:YOUNG WOMENS CHRISTIAN ASSOCIATION OF GREATER AUSTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNARDA
Authorized Official - Middle Name:NAYA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-326-1222
Mailing Address - Street 1:2015 S INTERSTATE 35 STE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3810
Mailing Address - Country:US
Mailing Address - Phone:512-777-9292
Mailing Address - Fax:512-326-1395
Practice Address - Street 1:2015 S INTERSTATE 35 STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-3810
Practice Address - Country:US
Practice Address - Phone:512-326-1222
Practice Address - Fax:512-326-1395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health