| Blue Water Therapists, Pllc | |
|
1010 Blue Water Dr Canyon Lake TX 78133-5584 | |
| (830) 730-2705 | |
| Not Available |
| Full Name | Blue Water Therapists, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1010 Blue Water Dr, Canyon Lake, Texas |
| Authorized Official Name and Position | Jill Marie Ingersoll (MANAGING MEMBER) |
| Authorized Official Contact | 8307302705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Therapists, Pllc 1010 Blue Water Dr Canyon Lake TX 78133-5584 Ph: (808) 489-5438 | Blue Water Therapists, Pllc 1010 Blue Water Dr Canyon Lake TX 78133-5584 Ph: (830) 730-2705 |
| NPI Number | 1093546152 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093546152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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