| Caqh | |
|
1200 Barton Hills Dr Apt 260 Austin TX 78704-1913 | |
| (254) 371-6844 | |
| Not Available |
| Full Name | Caqh |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1200 Barton Hills Dr Apt 260, Austin, Texas |
| Authorized Official Name and Position | Cynthia A Schmitz (PROVIDER RELATION SPECIALIST) |
| Authorized Official Contact | 3143875373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caqh 1200 Barton Hills Dr Apt 260 Austin TX 78704-1913 Ph: (254) 371-6844 | Caqh 1200 Barton Hills Dr Apt 260 Austin TX 78704-1913 Ph: (254) 371-6844 |
| NPI Number | 1356730345 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356730345 | NPI | - | NPPES |
| 08078 | Other | TX | LICENSED CLINICAL SOCIAL WORKER |
| 10780 | Other | TX | LICENSED CHEMICAL DEPENDENCY COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 08078 (Texas) | Primary |
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