| The Austin Center For Grief And Loss | |
|
2413 Greenlawn Pkwy Austin TX 78757-2126 | |
| (512) 472-7878 | |
| (512) 467-1111 |
| Full Name | The Austin Center For Grief And Loss |
|---|---|
| Speciality | Counselor |
| Location | 2413 Greenlawn Pkwy, Austin, Texas |
| Authorized Official Name and Position | Mary Dickerson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5124727878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Austin Center For Grief And Loss 2413 Greenlawn Pkwy Austin TX 78757-2126 Ph: (512) 472-7878 | The Austin Center For Grief And Loss 2413 Greenlawn Pkwy Austin TX 78757-2126 Ph: (512) 472-7878 |
| NPI Number | 1952738486 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 2163783812 |
|---|---|
| Medicare Enrollment ID | O20180221001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952738486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elaine Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588030142 PECOS PAC ID: 5294037420 Enrollment ID: I20160105002791 |
| Provider Name | Rachel L Saffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972091098 PECOS PAC ID: 4183972185 Enrollment ID: I20180808001027 |
| Provider Name | Jill Arechiga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891270476 PECOS PAC ID: 4486907607 Enrollment ID: I20181105001951 |
| Provider Name | Nadia Katrina Velasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376104828 PECOS PAC ID: 9537498464 Enrollment ID: I20190903000285 |
| Provider Name | Jessica Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861192742 PECOS PAC ID: 6103290705 Enrollment ID: I20230322001723 |
| Provider Name | Susan Lynne Levinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336541416 PECOS PAC ID: 1557703212 Enrollment ID: I20240525000110 |
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