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Organization
TEEN THERAPY AUSTIN
Active
Organization
TEEN THERAPY AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITYDA COLEMAN LCSW (OWNER)
(512) 402-2650
Entity
Organization
Contact information
Practice address
1301 S CAPITAL OF TEXAS HWY, C130, WEST LAKE HILLS, TX 78746-6574
(512) 402-2650
Mailing address
1301 S CAPITAL OF TEXAS HWY, C130, WEST LAKE HILLS, TX 78746-6574
(512) 402-2650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63382
TX
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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