| Advocates For Mental Health | |
|
7703 N. Lamar Blvd Suite 225 Austin TX 78752-3529 | |
| (855) 527-8728 | |
| (855) 527-8728 |
| Full Name | Advocates For Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 7703 N. Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Charles Jason Earle (DIRECTOR) |
| Authorized Official Contact | 8555278728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocates For Mental Health Po Box 4404 Austin TX 78765-4404 Ph: () - | Advocates For Mental Health 7703 N. Lamar Blvd Suite 225 Austin TX 78752-3529 Ph: (855) 527-8728 |
| NPI Number | 1548633589 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Medicare PECOS PAC ID | 5799086591 |
|---|---|
| Medicare Enrollment ID | O20151221002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548633589 | NPI | - | NPPES |
| Provider Name | Charles Jason Earle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295173672 PECOS PAC ID: 9739320235 Enrollment ID: I20130725000703 |
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