| The Timothy Center, Inc. | |
|
11754 Jollyville Rd Ste 110 Austin TX 78759-3948 | |
| (512) 331-2700 | |
| (512) 219-5097 |
| Full Name | The Timothy Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11754 Jollyville Rd Ste 110, Austin, Texas |
| Authorized Official Name and Position | Jimmy Kyle Myers (OWNER AND OPERATOR) |
| Authorized Official Contact | 5123312700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Timothy Center, Inc. 11754 Jollyville Rd Ste 110 Austin TX 78759-3948 Ph: (512) 331-2700 | The Timothy Center, Inc. 11754 Jollyville Rd Ste 110 Austin TX 78759-3948 Ph: (512) 331-2700 |
| NPI Number | 1902183577 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902183577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63765 (Texas) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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