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1205 W 43rd St Austin TX 78756-3301 | |
| (512) 660-9611 | |
| (512) 220-1075 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1205 W 43rd St, Austin, Texas |
| Authorized Official Name and Position | Katy David (CLINICAL DIRECTOR/SUPERVISOR) |
| Authorized Official Contact | 5126609611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1205 W 43rd St Austin TX 78756-3301 Ph: (512) 660-9611 | 1205 W 43rd St Austin TX 78756-3301 Ph: (512) 660-9611 |
| NPI Number | 1649677006 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Medicare PECOS PAC ID | 2365881455 |
|---|---|
| Medicare Enrollment ID | O20240423001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649677006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 69652 (Texas) | Primary |
| Provider Name | Katy David |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881092807 PECOS PAC ID: 1254770357 Enrollment ID: I20240613001265 |
| Provider Name | Whitney E Granado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598404311 PECOS PAC ID: 3072952175 Enrollment ID: I20240617000797 |
| Provider Name | Maria Eduarda Machado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073259099 PECOS PAC ID: 6103360722 Enrollment ID: I20240706000199 |
| Provider Name | Caileigh Chadwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659997369 PECOS PAC ID: 4981142643 Enrollment ID: I20240813004023 |
| Provider Name | Jamie Figari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659140895 PECOS PAC ID: 8123566882 Enrollment ID: I20240813004152 |
| Provider Name | Mariel Sahad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225777964 PECOS PAC ID: 2264970821 Enrollment ID: I20240813004395 |
Develop Common Ground, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 | |
Neurowellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 | |
Juno Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 | |
Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
Emily Bent, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Arundel Rd, Austin, TX 78738 Phone: 919-949-5888 |