| Regina Medart, Lpc | |
|
805 W 10th St Ste 302 Austin TX 78701-2047 | |
| (512) 350-9907 | |
| (512) 531-9697 |
| Full Name | Regina Medart, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 805 W 10th St Ste 302, Austin, Texas |
| Authorized Official Name and Position | Regina Medart (OWNER) |
| Authorized Official Contact | 5123509907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Medart, Lpc 805 W 10th St Ste 302 Austin TX 78701-2047 Ph: (512) 350-9907 | Regina Medart, Lpc 805 W 10th St Ste 302 Austin TX 78701-2047 Ph: (512) 350-9907 |
| NPI Number | 1841886173 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841886173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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