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Contact Information

AUSTIN TRAVIS COUNTY MHMR CENTER
5225 N LAMAR BLVD
AUSTIN, TX78751-1820
 Phone: 512-483-5800
 Fax: 512-483-5800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community/Behavioral Health

251S00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AUSTIN TRAVIS COUNTY MHMR CENTER · (Female)

NPI Number 1346377579
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2007
Last updated 09/21/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 1335424-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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