| Waterloo Counseling Center | |
|
314 E Highland Mall Blvd Ste 301 Austin TX 78752-3731 | |
| (512) 444-9922 | |
| Not Available |
| Full Name | Waterloo Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 314 E Highland Mall Blvd Ste 301, Austin, Texas |
| Authorized Official Name and Position | Christopher Matthew Adams (CFO) |
| Authorized Official Contact | 5126438770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterloo Counseling Center 101 W Koenig Ln Unit 300 Austin TX 78751-1273 Ph: (512) 643-8770 | Waterloo Counseling Center 314 E Highland Mall Blvd Ste 301 Austin TX 78752-3731 Ph: (512) 444-9922 |
| NPI Number | 1578175576 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 6002227873 |
|---|---|
| Medicare Enrollment ID | O20201130001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578175576 | NPI | - | NPPES |
| 419954901 | Medicaid | TX |
| Provider Name | Heath A Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821430935 PECOS PAC ID: 8224323852 Enrollment ID: I20160829003034 |
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