| Emh Central Nw Austin Clinic Pllc | |
|
4917 Westview Dr Austin TX 78731-4735 | |
| (512) 658-8385 | |
| Not Available |
| Full Name | Emh Central Nw Austin Clinic Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4917 Westview Dr, Austin, Texas |
| Authorized Official Name and Position | Scott Spaw (OWNER) |
| Authorized Official Contact | 9366355634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emh Central Nw Austin Clinic Pllc 4917 Westview Dr Austin TX 78731-4735 Ph: (512) 658-8385 | Emh Central Nw Austin Clinic Pllc 4917 Westview Dr Austin TX 78731-4735 Ph: (512) 658-8385 |
| NPI Number | 1932834371 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 6103279260 |
|---|---|
| Medicare Enrollment ID | O20240125001932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932834371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kelli S Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124488317 PECOS PAC ID: 8527367333 Enrollment ID: I20160429000352 |
| Provider Name | Andrea E Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225335110 PECOS PAC ID: 3577967710 Enrollment ID: I20210810001426 |
| Provider Name | Eva Greenwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801596655 PECOS PAC ID: 7810340973 Enrollment ID: I20240126001315 |
| Provider Name | Scott Hudson Spaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508199878 PECOS PAC ID: 6002269164 Enrollment ID: I20240126001484 |
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