| Glasshouse Effect Psychotherapy Center, Llc | |
|
706 W Ben White Blvd Bldg B Ste 184 Austin TX 78704 | |
| (817) 789-9744 | |
| Not Available |
| Full Name | Glasshouse Effect Psychotherapy Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 706 W Ben White Blvd Bldg B, Austin, Texas |
| Authorized Official Name and Position | Bolutife Dosumu (THERAPIST) |
| Authorized Official Contact | 8177051900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glasshouse Effect Psychotherapy Center, Llc 214 Adam Ct Austin TX 78737-4467 Ph: (817) 705-1900 | Glasshouse Effect Psychotherapy Center, Llc 706 W Ben White Blvd Bldg B Ste 184 Austin TX 78704 Ph: (817) 789-9744 |
| NPI Number | 1689196651 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689196651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 51608 (Texas) | Primary |
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