OrganizationActive
Action Potential Atx Psychotherapy PLLC
NPI 1255061602 · Mental Health Counselor · Austin, TX
Provider details
- NPI number
- 1255061602
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mark Blockus, Manager(512) 481-2722
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4413 Spicewood Springs Rd # 105
Austin, TX 78759-8580
Phone: (512) 481-2722
Fax: (512) 601-4381
Approximate (ZIP-level) locationGet directions
Mailing address
4413 Spicewood Springs Rd # 105
Austin, TX 78759-8580
Registry dates
- Enumerated
- 2022-06-16
- Last updated
- 2022-06-16
- Certified
- 2022-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.