Provider Demographics
NPI:1295319770
Name:ASHA DEVASIA, LPC, PLLC
Entity type:Organization
Organization Name:ASHA DEVASIA, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:PATEL
Authorized Official - Last Name:DEVASIA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-769-7511
Mailing Address - Street 1:8028 WHITWORTH LN
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-3416
Mailing Address - Country:US
Mailing Address - Phone:512-769-7511
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR STE 6086
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:512-763-0592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty