| Heart Of Gypsy Counseling Services | |
|
3550 Lakeline Blvd Ste 170-1229 Leander TX 78641-3504 | |
| (512) 690-4658 | |
| Not Available |
| Full Name | Heart Of Gypsy Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3550 Lakeline Blvd Ste 170-1229, Leander, Texas |
| Authorized Official Name and Position | Michele Lynn Simonich (OWNER/CLINICIAN) |
| Authorized Official Contact | 5126904658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Gypsy Counseling Services 3550 Lakeline Blvd Ste 170-1229 Leander TX 78641-3504 Ph: (512) 690-4658 | Heart Of Gypsy Counseling Services 3550 Lakeline Blvd Ste 170-1229 Leander TX 78641-3504 Ph: (512) 690-4658 |
| NPI Number | 1669069639 |
|---|---|
| Provider Enumeration Date | 12/24/2020 |
| Last Update Date | 12/24/2020 |
| Certification Date | 12/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669069639 | NPI | - | NPPES |
| 1295260693 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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