| My-emerge | |
|
12343 Hymeadow Dr Ste 3e Austin TX 78750-1858 | |
| (512) 861-4154 | |
| (737) 787-3714 |
| Full Name | My-emerge |
|---|---|
| Speciality | Social Worker |
| Location | 12343 Hymeadow Dr Ste 3e, Austin, Texas |
| Authorized Official Name and Position | Jenny Silver (OWNER) |
| Authorized Official Contact | 9174002575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My-emerge Po Box 1141 Round Rock TX 78680-1141 Ph: (512) 861-4154 | My-emerge 12343 Hymeadow Dr Ste 3e Austin TX 78750-1858 Ph: (512) 861-4154 |
| NPI Number | 1821695610 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 4789083791 |
|---|---|
| Medicare Enrollment ID | O20210525000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821695610 | NPI | - | NPPES |
| 1427579309 | Other | TX | 705009 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Margareth Ann Mccreary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306061825 PECOS PAC ID: 0547230500 Enrollment ID: I20040727001615 |
| Provider Name | Jenny Rebecca Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427579309 PECOS PAC ID: 1355698184 Enrollment ID: I20180724003503 |
| Provider Name | Jamie S Freda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114419116 PECOS PAC ID: 1850724808 Enrollment ID: I20191204002283 |
| Provider Name | Rachel L. Hodgdon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467291302 PECOS PAC ID: 8628510237 Enrollment ID: I20240611003166 |
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