| Clear Water Psychiatry & Wellness | |
|
1600 W 38th St Ste 318 Austin TX 78731 | |
| (512) 203-3588 | |
| Not Available |
| Full Name | Clear Water Psychiatry & Wellness |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1600 W 38th St Ste 318, Austin, Texas |
| Authorized Official Name and Position | Tori Gold (OFFICE MANAGER) |
| Authorized Official Contact | 5122033588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Water Psychiatry & Wellness 1600 W 38th St Ste 318 Austin TX 78731-6406 Ph: (512) 203-3588 | Clear Water Psychiatry & Wellness 1600 W 38th St Ste 318 Austin TX 78731 Ph: (512) 203-3588 |
| NPI Number | 1740767607 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740767607 | NPI | - | NPPES |
| 1316491368 | Other | TX | NPPES |
| AP122637 | Other | TX | TEXAS BOARD OF NURSING |
| AP131368 | Other | TX | TEXAS BOARD OF NURSING |
| 1669658506 | Other | TX | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | AP1316491368 (Texas) | Primary |
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