Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Austen Park

Individual provider Marriage & Family Therapist · NPI 1649998725

Austen Park is a Marriage & Family Therapist in Windermere, Florida. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

11468 Willow Gardens Dr
Windermere, FL 34786-6015
Phone: (407) 883-1282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 0717002195 (VA)

Record details

NPI number1649998725
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 16, 2022
Last updated in NPPESOctober 7, 2026
Certification dateOctober 7, 2026

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