| Wellspring Behavioral Health Pc | |
|
12741 Research Blvd Suite 700 Austin TX 78759-4388 | |
| (512) 302-1590 | |
| (877) 369-4844 |
| Full Name | Wellspring Behavioral Health Pc |
|---|---|
| Speciality | Psychologist |
| Location | 12741 Research Blvd, Austin, Texas |
| Authorized Official Name and Position | Abigail Mcneely (OWNER) |
| Authorized Official Contact | 5123021590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Behavioral Health Pc 12741 Research Blvd Suite 700 Austin TX 78759-4388 Ph: (512) 302-1590 | Wellspring Behavioral Health Pc 12741 Research Blvd Suite 700 Austin TX 78759-4388 Ph: (512) 302-1590 |
| NPI Number | 1225562317 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Medicare PECOS PAC ID | 0042597619 |
|---|---|
| Medicare Enrollment ID | O20170509000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225562317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 36188 (Texas) | Primary |
| Provider Name | Abigail R Mcneely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174613046 PECOS PAC ID: 9638211501 Enrollment ID: I20140305001247 |
| Provider Name | Hilary Deweerd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073690038 PECOS PAC ID: 1658756648 Enrollment ID: I20220912001535 |
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