| Shannon M Mekuly Lpc Atr P.c | |
|
2511 E 6th St Ste B Austin TX 78702-0047 | |
| (512) 779-4179 | |
| Not Available |
| Full Name | Shannon M Mekuly Lpc Atr P.c |
|---|---|
| Speciality | Counselor |
| Location | 2511 E 6th St Ste B, Austin, Texas |
| Authorized Official Name and Position | Shannon Mekuly (OWNER) |
| Authorized Official Contact | 5127794179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M Mekuly Lpc Atr P.c 1406 Berkshire Dr Austin TX 78723-1839 Ph: (512) 779-4179 | Shannon M Mekuly Lpc Atr P.c 2511 E 6th St Ste B Austin TX 78702-0047 Ph: (512) 779-4179 |
| NPI Number | 1013484922 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013484922 | NPI | - | NPPES |
| 3336471-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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