| Life Care Psychotherapy, Pllc | |
|
3613 Williams Dr 703 Georgetown TX 78628-1377 | |
| (512) 632-4731 | |
| Not Available |
| Full Name | Life Care Psychotherapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3613 Williams Dr, Georgetown, Texas |
| Authorized Official Name and Position | Russell Boyd (OWNER) |
| Authorized Official Contact | 5126324731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Psychotherapy, Pllc 11508 Church Canyon Dr Austin TX 78754-5902 Ph: () - | Life Care Psychotherapy, Pllc 3613 Williams Dr 703 Georgetown TX 78628-1377 Ph: (512) 632-4731 |
| NPI Number | 1518340587 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518340587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 69957 (Texas) | Primary |
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