| Counseling For Athletes Pllc | |
|
2520 Longview St Ste 212 Austin TX 78705-4201 | |
| (512) 176-0706 | |
| Not Available |
| Full Name | Counseling For Athletes Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2520 Longview St Ste 212, Austin, Texas |
| Authorized Official Name and Position | Elise Nicole Keoghan (THERAPIST) |
| Authorized Official Contact | 5126170706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling For Athletes Pllc Po Box 143942 Austin TX 78714-3942 Ph: (830) 708-0501 | Counseling For Athletes Pllc 2520 Longview St Ste 212 Austin TX 78705-4201 Ph: (512) 176-0706 |
| NPI Number | 1679210686 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679210686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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