| Airedescent Wellness, Pllc | |
|
12330 Metric Blvd Apt 6214 Austin TX 78758-2523 | |
| (747) 777-0503 | |
| Not Available |
| Full Name | Airedescent Wellness, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12330 Metric Blvd Apt 6214, Austin, Texas |
| Authorized Official Name and Position | Sederia Moore (MANAGER) |
| Authorized Official Contact | 7477770503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Airedescent Wellness, Pllc 10900 Research Blvd, Ste 160c #2037 Austin TX 78759 Ph: (512) 677-5115 | Airedescent Wellness, Pllc 12330 Metric Blvd Apt 6214 Austin TX 78758-2523 Ph: (747) 777-0503 |
| NPI Number | 1841887510 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841887510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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