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Michael Mahan, LCSW, LCDC

NPI 1730634072 · on the registry since 2016 · sole proprietor

Practice

Address
6633 E Highway 290
Suite 212
Austin, TX 78723
Phone
(512) 342-1718
Organisation at this address
Kpark Endo Pllc
African American Mens Health Clinic
Austin Spirit Heart Mind & Body, Llc
Polk Nursing Home Limited Partnership
Central Texas Community Health Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
1041C0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas