| Phoenix Thriving, Pllc | |
|
3400 Kerbey Ln Austin TX 78703-1455 | |
| (512) 560-7294 | |
| (512) 524-1412 |
| Full Name | Phoenix Thriving, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3400 Kerbey Ln, Austin, Texas |
| Authorized Official Name and Position | Heather L Davies (PRESIDENT AND MANAGER) |
| Authorized Official Contact | 5125607294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Thriving, Pllc 3400 Kerbey Ln Box 55 Austin TX 78703-1455 Ph: (512) 560-7294 | Phoenix Thriving, Pllc 3400 Kerbey Ln Austin TX 78703-1455 Ph: (512) 560-7294 |
| NPI Number | 1295084101 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295084101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 39631 (Texas) | Primary |
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