| Growth Space, Pllc | |
|
5900 Balcones Dr Ste 100 Austin TX 78731-4298 | |
| (915) 703-1415 | |
| (915) 265-0667 |
| Full Name | Growth Space, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
| Authorized Official Name and Position | Myra L Hernandez (OWNER) |
| Authorized Official Contact | 9157031415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Space, Pllc 5620 Burning Tree Dr El Paso TX 79912-4104 Ph: (915) 227-4550 | Growth Space, Pllc 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: (915) 703-1415 |
| NPI Number | 1801594353 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801594353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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