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Organization
SHILPAPP LLC
Active
Organization
SHILPAPP LLC
Active
Other names
Thriving Heart Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA MUTYALA LCSW (MANAGER/COUNSELOR)
(703) 244-0577
Entity
Organization
Contact information
Practice address
13625 POND SPRINGS RD, SUITE 105, AUSTIN, TX 78729-4427
(703) 244-0577
Mailing address
4104 REMINGTON RD, CEDAR PARK, TX 78613-7756
(703) 244-0577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52517
TX
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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