| Tohwikeli | |
|
3705 Hawk Ridge St Round Rock TX 78665-1130 | |
| (737) 304-6892 | |
| Not Available |
| Full Name | Tohwikeli |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3705 Hawk Ridge St, Round Rock, Texas |
| Authorized Official Name and Position | Ellen Payne (OWNER & THERAPIST) |
| Authorized Official Contact | 7373046892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tohwikeli Po Box 116 Mc Neil TX 78651-0116 Ph: (737) 304-6892 | Tohwikeli 3705 Hawk Ridge St Round Rock TX 78665-1130 Ph: (737) 304-6892 |
| NPI Number | 1750151668 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750151668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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