Provider Demographics
NPI:1548972805
Name:LISTENING ROOM WELLNESS PLLC
Entity type:Organization
Organization Name:LISTENING ROOM WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:IRSAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-783-4508
Mailing Address - Street 1:7011 TESORO TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7834
Mailing Address - Country:US
Mailing Address - Phone:512-783-4508
Mailing Address - Fax:
Practice Address - Street 1:11824 JOLLYVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-2318
Practice Address - Country:US
Practice Address - Phone:512-783-4508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty