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Organization
ACTION POTENTIAL ATX PSYCHOTHERAPY PLLC
Active
Organization
ACTION POTENTIAL ATX PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BLOCKUS LPC (MANAGER)
(512) 481-2722
Entity
Organization
Contact information
Practice address
4413 SPICEWOOD SPRINGS RD # 105, AUSTIN, TX 78759-8580
(512) 481-2722
(512) 601-4381
Mailing address
4413 SPICEWOOD SPRINGS RD # 105, AUSTIN, TX 78759-8580
(512) 481-2722
(512) 601-4381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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