| Lutheran Social Services Of The South, Inc. | |
|
10601 Derecho Drive Austin TX 78737-1013 | |
| (512) 459-1000 | |
| (512) 706-7576 |
| Full Name | Lutheran Social Services Of The South, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10601 Derecho Drive, Austin, Texas |
| Authorized Official Name and Position | Krystale Bezio (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 5124591000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of The South, Inc. 8305 Cross Park Drive Austin TX 78754-5154 Ph: (512) 459-1000 | Lutheran Social Services Of The South, Inc. 10601 Derecho Drive Austin TX 78737-1013 Ph: (512) 459-1000 |
| NPI Number | 1669084943 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669084943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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