| Viesca Therapeutic Services, Pllc | |
|
600 Round Rock West Dr Ste 606 Round Rock TX 78681-5005 | |
| (512) 293-4346 | |
| (512) 300-0592 |
| Full Name | Viesca Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Round Rock West Dr Ste 606, Round Rock, Texas |
| Authorized Official Name and Position | Angela R Viesca (OWNER) |
| Authorized Official Contact | 5122934346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viesca Therapeutic Services, Pllc 600 Round Rock West Dr Ste 606 Round Rock TX 78681-5005 Ph: (512) 293-4346 | Viesca Therapeutic Services, Pllc 600 Round Rock West Dr Ste 606 Round Rock TX 78681-5005 Ph: (512) 293-4346 |
| NPI Number | 1700492204 |
|---|---|
| Provider Enumeration Date | 09/20/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Medicare PECOS PAC ID | 5395164693 |
|---|---|
| Medicare Enrollment ID | O20201007000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700492204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shawn Maire Towle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033237607 PECOS PAC ID: 8123190253 Enrollment ID: I20080708000085 |
| Provider Name | Melissa Elaine Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154806974 PECOS PAC ID: 8729494521 Enrollment ID: I20210302002113 |
| Provider Name | Patricia A Hatfield-o'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508468877 PECOS PAC ID: 3072920172 Enrollment ID: I20210407000338 |
| Provider Name | William J Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699018655 PECOS PAC ID: 5496993263 Enrollment ID: I20231120003557 |
| Provider Name | Manuel Santarriaga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831661099 PECOS PAC ID: 7618312372 Enrollment ID: I20240304003007 |
| Provider Name | Erica Joy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033819750 PECOS PAC ID: 8820436173 Enrollment ID: I20240404003600 |
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