# EYE OF THE HEART, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174898910
- **Authorized official:** ALISA MONIQUE CARR (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (512) 297-8717

## Contact information

- **Practice address:** 4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
- **Practice address phone:** (512) 297-8717
- **Practice address fax:** (888) 395-2986
- **Mailing address:** 4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
- **Mailing address phone:** (512) 297-8717
- **Mailing address fax:** (888) 395-2986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 27129 | TX | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 11/04/2014