| West Therapy Practice, Pllc | |
|
2224 Walsh Tarlton Ln 110 Austin TX 78746-7761 | |
| (512) 586-8145 | |
| Not Available |
| Full Name | West Therapy Practice, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2224 Walsh Tarlton Ln, Austin, Texas |
| Authorized Official Name and Position | Melinda West (OWNER) |
| Authorized Official Contact | 5125868145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Therapy Practice, Pllc 2224 Walsh Tarlton Ln 110 Austin TX 78746-7761 Ph: (512) 586-8145 | West Therapy Practice, Pllc 2224 Walsh Tarlton Ln 110 Austin TX 78746-7761 Ph: (512) 586-8145 |
| NPI Number | 1699195909 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 04/25/2014 |
| Medicare PECOS PAC ID | 6800146721 |
|---|---|
| Medicare Enrollment ID | O20180913001525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699195909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 54435 (Texas) | Primary |
| Provider Name | Melinda White West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407271349 PECOS PAC ID: 7618227539 Enrollment ID: I20180913001651 |
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