Raising The Ground | |
595 Round Rock West Dr Ste 104 Round Rock TX 78681-5028 | |
(512) 815-3723 | |
Not Available |
Full Name | Raising The Ground |
---|---|
Speciality | Counselor - Professional |
Location | 595 Round Rock West Dr Ste 104, Round Rock, Texas |
Authorized Official Name and Position | Amy Ota (OWNER, THERAPIST) |
Authorized Official Contact | 5128153723 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Raising The Ground 595 Round Rock West Dr Ste 104 Round Rock TX 78681-5028 Ph: (512) 815-3723 | Raising The Ground 595 Round Rock West Dr Ste 104 Round Rock TX 78681-5028 Ph: (512) 815-3723 |
NPI Number | 1871059675 |
---|---|
Provider Enumeration Date | 02/16/2019 |
Last Update Date | 03/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871059675 | NPI | - | NPPES |
1043751787 | Other | TX | NPI |
1871002311 | Other | TX | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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