Action Potential Atx Psychotherapy Pllc | |
4413 Spicewood Springs Rd # 105 Austin TX 78759-8580 | |
(512) 481-2722 | |
(512) 601-4381 |
Full Name | Action Potential Atx Psychotherapy Pllc |
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Speciality | Counselor - Mental Health |
Location | 4413 Spicewood Springs Rd # 105, Austin, Texas |
Authorized Official Name and Position | Mark Blockus (MANAGER) |
Authorized Official Contact | 5124812722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Action Potential Atx Psychotherapy Pllc 4413 Spicewood Springs Rd # 105 Austin TX 78759-8580 Ph: (512) 481-2722 | Action Potential Atx Psychotherapy Pllc 4413 Spicewood Springs Rd # 105 Austin TX 78759-8580 Ph: (512) 481-2722 |
NPI Number | 1255061602 |
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Provider Enumeration Date | 06/16/2022 |
Last Update Date | 06/16/2022 |
Certification Date | 06/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255061602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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