| The Lakehouse | |
|
2777 Tradewind Dr Spicewood TX 78669-5131 | |
| (214) 669-1002 | |
| Not Available |
| Full Name | The Lakehouse |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2777 Tradewind Dr, Spicewood, Texas |
| Authorized Official Name and Position | Amy R Dyer (MEMBER) |
| Authorized Official Contact | 2146691002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lakehouse 1150 Lakeway Dr Suite 216 Lakeway TX 78234 Ph: (512) 692-9252 | The Lakehouse 2777 Tradewind Dr Spicewood TX 78669-5131 Ph: (214) 669-1002 |
| NPI Number | 1275908097 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 12/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275908097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63830 (Texas) | Primary |
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