| Teen Therapy Austin | |
|
1301 S Capital Of Texas Hwy C130 West Lake Hills TX 78746-6574 | |
| (512) 402-2650 | |
| Not Available |
| Full Name | Teen Therapy Austin |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1301 S Capital Of Texas Hwy, West Lake Hills, Texas |
| Authorized Official Name and Position | Nityda Coleman (OWNER) |
| Authorized Official Contact | 5124022650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Therapy Austin 1301 S Capital Of Texas Hwy C130 West Lake Hills TX 78746-6574 Ph: (512) 402-2650 | Teen Therapy Austin 1301 S Capital Of Texas Hwy C130 West Lake Hills TX 78746-6574 Ph: (512) 402-2650 |
| NPI Number | 1487181194 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487181194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 63382 (Texas) | Primary |
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