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Organization
NEW VISION PSYCHIATRY AND WELLNESS PLLC
Active
Organization
NEW VISION PSYCHIATRY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GE'O-VANNA SMITH MSN (OFFICE MANAGER)
(512) 595-7475
Entity
Organization
Contact information
Practice address
1705 S CAPITAL OF TEXAS HWY STE 310, AUSTIN, TX 78746-6551
(512) 998-5100
Mailing address
1705 S CAPITAL OF TEXAS HWY STE 310, AUSTIN, TX 78746-6551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/30/2018
Last updated
01/19/2019
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