Adjuvant Behavioral Health Inc | |
11754 Jollyville Rd Ste 110 Austin TX 78759-3948 | |
(866) 912-2746 | |
(800) 420-2305 |
Full Name | Adjuvant Behavioral Health Inc |
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Speciality | Clinic/Center |
Location | 11754 Jollyville Rd Ste 110, Austin, Texas |
Authorized Official Name and Position | Joshua Michael Myers (CEO) |
Authorized Official Contact | 5123312700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adjuvant Behavioral Health Inc 11754 Jollyville Rd Ste 110 Austin TX 78759-3948 Ph: (866) 912-2746 | Adjuvant Behavioral Health Inc 11754 Jollyville Rd Ste 110 Austin TX 78759-3948 Ph: (866) 912-2746 |
NPI Number | 1497485106 |
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Provider Enumeration Date | 06/15/2022 |
Last Update Date | 09/26/2024 |
Certification Date | 09/26/2024 |
Medicare PECOS PAC ID | 2860865557 |
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Medicare Enrollment ID | O20230503002424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497485106 | NPI | - | NPPES |
462798601 | Medicaid | TX |
Provider Name | Amy Elizabeth Root |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528577707 PECOS PAC ID: 4981960473 Enrollment ID: I20171116001967 |
Provider Name | Courtney Donielle Unkefer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184110256 PECOS PAC ID: 8820335508 Enrollment ID: I20190204002243 |
Provider Name | Lynsay Erin Gaines |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619491701 PECOS PAC ID: 1052659034 Enrollment ID: I20190218001281 |
Provider Name | Chamara Harris |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033463229 PECOS PAC ID: 7416285192 Enrollment ID: I20190819002796 |
Provider Name | Jennifer Marie Stoker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407352032 PECOS PAC ID: 2668839721 Enrollment ID: I20230605001796 |
Provider Name | Karen Elaine Horn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902563125 PECOS PAC ID: 8224498886 Enrollment ID: I20230714002132 |
Provider Name | Elizabeth Nyamai |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598371445 PECOS PAC ID: 5698135861 Enrollment ID: I20230719002776 |
Provider Name | Krystal Pennington |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609468941 PECOS PAC ID: 4082066295 Enrollment ID: I20240123002727 |
Provider Name | Cassity Lucas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780255562 PECOS PAC ID: 8325491467 Enrollment ID: I20240125001439 |
Provider Name | Vanessa Michelle Jackson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932679172 PECOS PAC ID: 0446603336 Enrollment ID: I20240126002387 |
Provider Name | Teresa Margarita Rivera |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1184319766 PECOS PAC ID: 5193178432 Enrollment ID: I20240202000204 |
Provider Name | Rachel Stankus |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932899432 PECOS PAC ID: 1052754488 Enrollment ID: I20240213001229 |
Provider Name | Joseline Vanessa Aguilar |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922611912 PECOS PAC ID: 2365888104 Enrollment ID: I20240314002549 |
Provider Name | Victoria Reyes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598478356 PECOS PAC ID: 7416396833 Enrollment ID: I20240418001762 |
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