| Austin Therapy Wise | |
|
2222 Western Trails Blvd Ste 205 Austin TX 78745-1647 | |
| (512) 788-6804 | |
| (210) 598-1910 |
| Full Name | Austin Therapy Wise |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2222 Western Trails Blvd Ste 205, Austin, Texas |
| Authorized Official Name and Position | Staci E Carlton (OWNER) |
| Authorized Official Contact | 5127886804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Therapy Wise 2222 Western Trails Blvd Ste 205 Austin TX 78745-1647 Ph: (512) 788-6804 | Austin Therapy Wise 2222 Western Trails Blvd Ste 205 Austin TX 78745-1647 Ph: (512) 788-6804 |
| NPI Number | 1942922836 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942922836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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