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Organization
EMERGE RECOVERY TX, LLC
Active
Organization
EMERGE RECOVERY TX, LLC
Active
Other names
Emerge Recovery TX, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREL KATHERINE TRACY MBA, LCDC-I (DIRECTOR OF OPERATIONS)
(832) 477-4325
Entity
Organization
Contact information
Practice address
7756 NORTHCROSS DR STE 203, AUSTIN, TX 78757-1725
(737) 237-9663
(833) 318-0324
Mailing address
7756 NORTHCROSS DR STE 203, AUSTIN, TX 78757-1725
(737) 237-9663
(833) 318-0324
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
TX
Enumeration date
08/23/2021
Last updated
08/23/2021
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