| A Created Life | |
|
614 S 1st St #113 Austin TX 78704-8898 | |
| (512) 300-9761 | |
| Not Available |
| Full Name | A Created Life |
|---|---|
| Speciality | Counselor - Professional |
| Location | 614 S 1st St, Austin, Texas |
| Authorized Official Name and Position | Frank Cohn (OWNER / CEO) |
| Authorized Official Contact | 5123009761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Created Life 614 S 1st St #113 Austin TX 78704-8898 Ph: (512) 300-9761 | A Created Life 614 S 1st St #113 Austin TX 78704-8898 Ph: (512) 300-9761 |
| NPI Number | 1295092781 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295092781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18291 (Texas) | Primary |
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