| Watershed Group Of Austin Dba Lifeologie | |
|
7000 N Mopac Expy Ste 200 Austin TX 78731-3013 | |
| (512) 651-3575 | |
| Not Available |
| Full Name | Watershed Group Of Austin Dba Lifeologie |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7000 N Mopac Expy Ste 200, Austin, Texas |
| Authorized Official Name and Position | Ly Tran (OWNER) |
| Authorized Official Contact | 5126513575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watershed Group Of Austin Dba Lifeologie 3600 Shire Blvd Ste 208 Richardson TX 75082-2238 Ph: (214) 556-0996 | Watershed Group Of Austin Dba Lifeologie 7000 N Mopac Expy Ste 200 Austin TX 78731-3013 Ph: (512) 651-3575 |
| NPI Number | 1396480836 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396480836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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