Planctx | |
4110 Guadalupe St. Bldg 781, Ste. 410 Austin TX 78751 | |
(512) 851-0901 | |
(511) 535-4193 |
Full Name | Planctx |
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Speciality | Counselor |
Location | 4110 Guadalupe St. Bldg 781, Ste. 410, Austin, Texas |
Authorized Official Name and Position | Rebecca Farrell (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5128510901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Planctx Po Box 4755 Austin TX 78765 Ph: (512) 851-0901 | Planctx 4110 Guadalupe St. Bldg 781, Ste. 410 Austin TX 78751 Ph: (512) 851-0901 |
NPI Number | 1205316213 |
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Provider Enumeration Date | 08/19/2018 |
Last Update Date | 02/21/2023 |
Certification Date | 02/21/2023 |
Medicare PECOS PAC ID | 5991058265 |
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Medicare Enrollment ID | O20181102002014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205316213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Deborah K Webb |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104976547 PECOS PAC ID: 7911036140 Enrollment ID: I20100527000141 |
Provider Name | Xingchun Tang |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952501322 PECOS PAC ID: 8224459615 Enrollment ID: I20200611001414 |
Provider Name | Claudia Baskind |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508214362 PECOS PAC ID: 3072935832 Enrollment ID: I20200624000826 |
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