| Psych Etcetera Llc | |
|
5900 Balcones Dr Ste 100 Austin TX 78731-4298 | |
| (713) 927-0145 | |
| Not Available |
| Full Name | Psych Etcetera Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
| Authorized Official Name and Position | Reginald Graves (MANAGING MEMBER) |
| Authorized Official Contact | 7139270145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Etcetera Llc 8600 N Fm 620 Rd Apt 2335 Austin TX 78726-3569 Ph: () - | Psych Etcetera Llc 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: (713) 927-0145 |
| NPI Number | 1962164855 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962164855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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