Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deep Eddy Psychotherapy Management, LLC

Organization Clinical Psychologist · NPI 1457740862

Deep Eddy Psychotherapy Management, LLC is a Clinical Psychologist in Austin, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

508 Deep Eddy Ave
Austin, TX 78703
Phone: (512) 956-6463
Fax: (512) 428-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 34890 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 21274 (TX)
Counseling Psychologist Taxonomy 103TC1900X · Licence 34301 (TX)
Counseling Psychologist Taxonomy 103TC1900X · Licence 20938 (TX)
Counseling Psychologist Taxonomy 103TC1900X · Licence 33076 (TX)

Record details

NPI number1457740862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Olds — Managing Psychologist · (512) 217-9579
Other names Deep Eddy Psychotherapy, Pllc
NPI enumeratedJanuary 22, 2015
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022
Mailing address508 Deep Eddy Ave., Austin, TX 78703

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