Provider Demographics
NPI:1356224190
Name:KHALSA, AMRIT (LMSW)
Entity type:Individual
Prefix:
First Name:AMRIT
Middle Name:
Last Name:KHALSA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 LOST CREEK BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6676
Mailing Address - Country:US
Mailing Address - Phone:512-379-0288
Mailing Address - Fax:
Practice Address - Street 1:1114 LOST CREEK BLVD STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6676
Practice Address - Country:US
Practice Address - Phone:512-379-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1133611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical