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Contact Information

AUTUMN C AUSTIN I, MA, LPC, CSAC
1135 FOUR LAKES DR
SUITE A
MATTHEWS, NC28105-1721
 Phone: 704-651-0668
 Fax: 704-849-0883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for AUTUMN C AUSTIN I · (Female)

NPI # 1699751107
Status Active
Credentials MA, LPC, CSAC
Entity Individual
Enumeration date 12/16/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 1926
  • NC License # 4817
  • NC Medicaid 6102580
  • NC Medicaid 6102931
  • NC Other 7167747 AETNA
  • NC Other 1398G BCBS
  • NC Other 184537 MEDCOST
  • NC Other 9388174 PRIVATE HEALTH CARE SYST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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