| Infinite Wellness Austin Pllc | |
|
1011 Meredith Dr Ste 12 Austin TX 78748-3763 | |
| (512) 703-0642 | |
| Not Available |
| Full Name | Infinite Wellness Austin Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1011 Meredith Dr Ste 12, Austin, Texas |
| Authorized Official Name and Position | Analisa Reyes (OWNER, THERAPIST) |
| Authorized Official Contact | 5127030642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Wellness Austin Pllc Po Box 734 Manchaca TX 78652-0734 Ph: () - | Infinite Wellness Austin Pllc 1011 Meredith Dr Ste 12 Austin TX 78748-3763 Ph: (512) 703-0642 |
| NPI Number | 1841792215 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Medicare PECOS PAC ID | 1658636113 |
|---|---|
| Medicare Enrollment ID | O20180604001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841792215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12526 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 58367 (Texas) | Primary |
| Provider Name | Analisa Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598195224 PECOS PAC ID: 5294090155 Enrollment ID: I20180523001937 |
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