| Changing How I Live Life | |
|
1006 E Yager Ln A 104 Austin TX 78753-7088 | |
| (512) 385-4799 | |
| Not Available |
| Full Name | Changing How I Live Life |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1006 E Yager Ln, Austin, Texas |
| Authorized Official Name and Position | Lori D. Wilson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5123854799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing How I Live Life 1006 E. Yager Lane A 104 Austin TX 78753 Ph: (512) 385-4799 | Changing How I Live Life 1006 E Yager Ln A 104 Austin TX 78753-7088 Ph: (512) 385-4799 |
| NPI Number | 1487977583 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487977583 | NPI | - | NPPES |
| 065483201 | Medicaid | TX |
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