| Resurgence Inc. | |
|
2525 Wallingwood Dr Ste 211 Austin TX 78746-6900 | |
| (512) 294-9861 | |
| Not Available |
| Full Name | Resurgence Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2525 Wallingwood Dr Ste 211, Austin, Texas |
| Authorized Official Name and Position | Emily Mastrangelo-griffiths (SOLE MEMBER) |
| Authorized Official Contact | 5122499861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgence Inc. 2525 Wallingwood Dr Ste 211 Austin TX 78746-6900 Ph: () - | Resurgence Inc. 2525 Wallingwood Dr Ste 211 Austin TX 78746-6900 Ph: (512) 294-9861 |
| NPI Number | 1700355146 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700355146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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