| Extended Wings Counseling, Pllc | |
|
3702 Laurel Ledge Ln Austin TX 78731-4050 | |
| (512) 522-5530 | |
| Not Available |
| Full Name | Extended Wings Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3702 Laurel Ledge Ln, Austin, Texas |
| Authorized Official Name and Position | Siobhan Florek (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5125225530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Wings Counseling, Pllc 5900 Balcones Dr Ste 5541 Austin TX 78731-4257 Ph: (512) 522-5530 | Extended Wings Counseling, Pllc 3702 Laurel Ledge Ln Austin TX 78731-4050 Ph: (512) 522-5530 |
| NPI Number | 1194486480 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194486480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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