| Mia Roldan Austin Therapy Pllc | |
|
4101 Medical Pkwy Ste 109 Austin TX 78756-3724 | |
| (512) 413-0239 | |
| Not Available |
| Full Name | Mia Roldan Austin Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4101 Medical Pkwy Ste 109, Austin, Texas |
| Authorized Official Name and Position | Anna-marie Christina Roldan (OWNER) |
| Authorized Official Contact | 5124130239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Roldan Austin Therapy Pllc 6104 Shoal Creek Blvd Austin TX 78757-3130 Ph: (512) 413-0239 | Mia Roldan Austin Therapy Pllc 4101 Medical Pkwy Ste 109 Austin TX 78756-3724 Ph: (512) 413-0239 |
| NPI Number | 1982169496 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982169496 | NPI | - | NPPES |
| 1790130318 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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