| The Divorce Recovery And Family Resources Center, P.c. | |
|
4131 Spicewood Springs Rd Suite K 8 Austin TX 78759-8661 | |
| (512) 502-1882 | |
| (512) 346-4188 |
| Full Name | The Divorce Recovery And Family Resources Center, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4131 Spicewood Springs Rd, Austin, Texas |
| Authorized Official Name and Position | Larry J. Miller (PRESIDENT) |
| Authorized Official Contact | 5125021882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Divorce Recovery And Family Resources Center, P.c. 4131 Spicewood Springs Rd Suite K 8 Austin TX 78759-8661 Ph: (512) 502-1882 | The Divorce Recovery And Family Resources Center, P.c. 4131 Spicewood Springs Rd Suite K 8 Austin TX 78759-8661 Ph: (512) 502-1882 |
| NPI Number | 1518163062 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518163062 | NPI | - | NPPES |
| 1699849372 | Other | TX | NPI TYPE 1 |
| GK 72 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2 1851 (Texas) | Primary |
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