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Organization
LIFE CARE PSYCHOTHERAPY, PLLC
Active
Organization
LIFE CARE PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL BOYD (OWNER)
(512) 632-4731
Entity
Organization
Contact information
Practice address
3613 WILLIAMS DR, 703, GEORGETOWN, TX 78628-1377
(512) 632-4731
Mailing address
11508 CHURCH CANYON DR, AUSTIN, TX 78754-5902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
69957
TX
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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