| Southwest Behavioral Healthcare | |
|
4310 James Casey, Bldg 2 Austin TX 78745 | |
| (512) 899-8217 | |
| (512) 899-2704 |
| Full Name | Southwest Behavioral Healthcare |
|---|---|
| Speciality | Psychologist |
| Location | 4310 James Casey, Bldg 2, Austin, Texas |
| Authorized Official Name and Position | Debra Sue Cole (OWNER) |
| Authorized Official Contact | 5128998217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Behavioral Healthcare 3420 Travis Country Circle Austin TX 78735 Ph: (812) 899-8217 | Southwest Behavioral Healthcare 4310 James Casey, Bldg 2 Austin TX 78745 Ph: (512) 899-8217 |
| NPI Number | 1366552580 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366552580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | TX18179 (Texas) | Primary |
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