| Blue Sky Counseling Llc | |
|
16105 Braesgate Dr Austin TX 78717-4820 | |
| (512) 898-9025 | |
| Not Available |
| Full Name | Blue Sky Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16105 Braesgate Dr, Austin, Texas |
| Authorized Official Name and Position | Jenifer Cameron (SOLE MEMBER) |
| Authorized Official Contact | 5128989025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Counseling Llc 16105 Braesgate Dr Austin TX 78717-4820 Ph: () - | Blue Sky Counseling Llc 16105 Braesgate Dr Austin TX 78717-4820 Ph: (512) 898-9025 |
| NPI Number | 1821757600 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Certification Date | 12/09/2021 |
| Medicare PECOS PAC ID | 4385036656 |
|---|---|
| Medicare Enrollment ID | O20220118001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821757600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jenifer Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407515281 PECOS PAC ID: 2567854847 Enrollment ID: I20220118002730 |
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