| Texas Trails Therapeutic Services, Pllc | |
|
1805 Long Rifle Dr Austin TX 78754-5847 | |
| (404) 422-6269 | |
| Not Available |
| Full Name | Texas Trails Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1805 Long Rifle Dr, Austin, Texas |
| Authorized Official Name and Position | Sarah Elisabeth Smith (CLINICAL THERAPIST) |
| Authorized Official Contact | 4044226269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Trails Therapeutic Services, Pllc 1805 Long Rifle Dr Austin TX 78754-5847 Ph: (404) 422-6269 | Texas Trails Therapeutic Services, Pllc 1805 Long Rifle Dr Austin TX 78754-5847 Ph: (404) 422-6269 |
| NPI Number | 1588347710 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588347710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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