| Empowered Wholeness, Pllc | |
|
4131 Spicewood Springs Rd Ste I7 Austin TX 78759-8659 | |
| (512) 758-6800 | |
| Not Available |
| Full Name | Empowered Wholeness, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4131 Spicewood Springs Rd Ste I7, Austin, Texas |
| Authorized Official Name and Position | Lauren Mason (OWNER, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5127586800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Wholeness, Pllc Po Box 170483 Austin TX 78717-0030 Ph: () - | Empowered Wholeness, Pllc 4131 Spicewood Springs Rd Ste I7 Austin TX 78759-8659 Ph: (512) 758-6800 |
| NPI Number | 1811542707 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811542707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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