| Southern Beacon Therapy Pllc | |
|
7700 W Highway 71 Ste 170 Austin TX 78735-8272 | |
| (737) 242-8700 | |
| Not Available |
| Full Name | Southern Beacon Therapy Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7700 W Highway 71 Ste 170, Austin, Texas |
| Authorized Official Name and Position | Katelyn Williams (OWNER/THERAPIST) |
| Authorized Official Contact | 7372428700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Beacon Therapy Pllc 3100 Lynnbrook Dr Austin TX 78748-2128 Ph: (210) 415-0206 | Southern Beacon Therapy Pllc 7700 W Highway 71 Ste 170 Austin TX 78735-8272 Ph: (737) 242-8700 |
| NPI Number | 1811583289 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811583289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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