Healing Paths Online Counseling Services | |
5900 Balcones Dr Austin TX 78731-4257 | |
(512) 803-0489 | |
Not Available |
Full Name | Healing Paths Online Counseling Services |
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Speciality | Counselor |
Location | 5900 Balcones Dr, Austin, Texas |
Authorized Official Name and Position | Wanda I Medina Torres (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 5128030489 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Paths Online Counseling Services 5900 Balcones Dr Austin TX 78731-4257 Ph: (512) 803-0489 | Healing Paths Online Counseling Services 5900 Balcones Dr Austin TX 78731-4257 Ph: (512) 803-0489 |
NPI Number | 1073265955 |
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Provider Enumeration Date | 01/22/2022 |
Last Update Date | 01/22/2022 |
Certification Date | 01/22/2022 |
Medicare PECOS PAC ID | 3577916808 |
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Medicare Enrollment ID | O20240202000094 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073265955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Wanda I Medina Torres |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184792434 PECOS PAC ID: 9931123080 Enrollment ID: I20240110005209 |
Provider Name | Yu Gyoung Park |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295441038 PECOS PAC ID: 6800238437 Enrollment ID: I20240528001548 |
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