Provider Demographics
NPI:1811875529
Name:RUSINOWSKI, MONICA (LPC-A)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:RUSINOWSKI
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 LAVACA ST APT 601
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1300
Mailing Address - Country:US
Mailing Address - Phone:914-330-6994
Mailing Address - Fax:
Practice Address - Street 1:1621 W 6TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5059
Practice Address - Country:US
Practice Address - Phone:512-553-1033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98917101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health