| New Life Institute | |
|
607 Rathervue Pl Austin TX 78705-3127 | |
| (512) 496-9447 | |
| (512) 451-9694 |
| Full Name | New Life Institute |
|---|---|
| Speciality | Counselor |
| Location | 607 Rathervue Pl, Austin, Texas |
| Authorized Official Name and Position | Raymond C Hawkins (DIRECTOR) |
| Authorized Official Contact | 5124699447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Institute Po Box 4487 Austin TX 78765-4487 Ph: (512) 469-9447 | New Life Institute 607 Rathervue Pl Austin TX 78705-3127 Ph: (512) 496-9447 |
| NPI Number | 1952495467 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/10/2011 |
| Medicare PECOS PAC ID | 5799887451 |
|---|---|
| Medicare Enrollment ID | O20070503000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952495467 | NPI | - | NPPES |
| 0022MD | Other | TX | BC/BS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | 21620 (Texas) | Secondary |
| Provider Name | Stephen W Englander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770538571 PECOS PAC ID: 0648280438 Enrollment ID: I20060424000491 |
| Provider Name | Raymond C Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811918816 PECOS PAC ID: 0345342002 Enrollment ID: I20070227000136 |
| Provider Name | Clifford Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447366810 PECOS PAC ID: 8123311859 Enrollment ID: I20160719000288 |
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