| Atx Emdr Llc | |
|
7701 N Lamar Blvd Ste 328 Austin TX 78752-1000 | |
| (254) 503-9553 | |
| Not Available |
| Full Name | Atx Emdr Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7701 N Lamar Blvd Ste 328, Austin, Texas |
| Authorized Official Name and Position | Karen Goldapp (OWNER) |
| Authorized Official Contact | 3254503955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atx Emdr Llc 7701 N Lamar Blvd Ste 328 Austin TX 78752-1000 Ph: (254) 503-9553 | Atx Emdr Llc 7701 N Lamar Blvd Ste 328 Austin TX 78752-1000 Ph: (254) 503-9553 |
| NPI Number | 1760077416 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 2163891821 |
|---|---|
| Medicare Enrollment ID | O20221220001148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760077416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen Goldapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235750472 PECOS PAC ID: 2961871629 Enrollment ID: I20221220001375 |
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