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Contact Information

BLUEBONNET TRAILS COMMUNITY MHMR CENTER
1009 N GEORGETOWN ST
ROUND ROCK, TX78664-3289
 Phone: 512-255-1720
 Fax: 512-244-8371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
 

Counselor

101Y00000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Interpreter

171R00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BLUEBONNET TRAILS COMMUNITY MHMR CENTER

NPI # 1861534612
LBN Legal business name BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Authorized official NORALISA WILLIAMS - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 08/28/2023 - About 3 years ago
Identifiers
TX License # NO LICENSE
TX Medicaid 1268443 03
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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