| Ola Wellness, Pllc | |
|
1106 West Ave Austin TX 78701 | |
| (512) 384-1407 | |
| Not Available |
| Full Name | Ola Wellness, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1106 West Ave, Austin, Texas |
| Authorized Official Name and Position | Marissa Aurora Rivera (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5123841407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ola Wellness, Pllc 1106 West Ave Austin TX 78701-2020 Ph: (512) 384-1407 | Ola Wellness, Pllc 1106 West Ave Austin TX 78701 Ph: (512) 384-1407 |
| NPI Number | 1194211516 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194211516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 71270 (Texas) | Primary |
| 251S00000X | Community/behavioral Health | 71270 (Texas) | Secondary |
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