Revenir Counseling And Wellness, Pllc | |
4131 Spicewood Springs Rd Ste H2 Austin TX 78759 | |
(901) 262-4577 | |
(855) 765-7552 |
Full Name | Revenir Counseling And Wellness, Pllc |
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Speciality | Counselor - Mental Health |
Location | 4131 Spicewood Springs Rd Ste H2, Austin, Texas |
Authorized Official Name and Position | Dixon J. Parnell (OWNER/SOLE PRACTITIONER) |
Authorized Official Contact | 9012624577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revenir Counseling And Wellness, Pllc 4131 Spicewood Springs Rd Ste H2 Austin TX 78759-8659 Ph: (901) 262-4577 | Revenir Counseling And Wellness, Pllc 4131 Spicewood Springs Rd Ste H2 Austin TX 78759 Ph: (901) 262-4577 |
NPI Number | 1407343759 |
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Provider Enumeration Date | 04/21/2018 |
Last Update Date | 06/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407343759 | NPI | - | NPPES |
71606 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 71606 (Texas) | Primary |
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