| Deyoung Counseling Pllc | |
|
2028 E Ben White Blvd Ste 240-8949 Austin TX 78741-6966 | |
| (737) 444-5980 | |
| Not Available |
| Full Name | Deyoung Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2028 E Ben White Blvd Ste 240-8949, Austin, Texas |
| Authorized Official Name and Position | Ann Deyoung (SOLE MEMBER) |
| Authorized Official Contact | 7374445980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deyoung Counseling Pllc 2028 E Ben White Blvd Ste 240-8949 Austin TX 78741-6966 Ph: () - | Deyoung Counseling Pllc 2028 E Ben White Blvd Ste 240-8949 Austin TX 78741-6966 Ph: (737) 444-5980 |
| NPI Number | 1730841156 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Medicare PECOS PAC ID | 2466840517 |
|---|---|
| Medicare Enrollment ID | O20211022001685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730841156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann Deyoung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013190818 PECOS PAC ID: 7719376086 Enrollment ID: I20211109000698 |
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