| Austin Revive Pllc | |
|
1406 Camp Craft Rd Ste 222 West Lake Hills TX 78746-6556 | |
| (512) 481-2257 | |
| Not Available |
| Full Name | Austin Revive Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1406 Camp Craft Rd Ste 222, West Lake Hills, Texas |
| Authorized Official Name and Position | Kristen Mulvihill (OWNER) |
| Authorized Official Contact | 2817311465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Revive Pllc 1406 Camp Craft Rd Ste 222 West Lake Hills TX 78746-6556 Ph: () - | Austin Revive Pllc 1406 Camp Craft Rd Ste 222 West Lake Hills TX 78746-6556 Ph: (512) 481-2257 |
| NPI Number | 1780348540 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780348540 | NPI | - | NPPES |
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