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Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Other names
Bluebonnet Trails Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY BODKINS (MANAGER)
(512) 244-8374
Entity
Organization
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 244-8371
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 244-8371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0797201 01
—
TX
05
—
1268443 01
—
TX
05
—
1268443 02
—
TX
05
—
1268443 03
—
TX
05
—
1268443 04
—
TX
05
—
1268443 05
—
TX
Enumeration date
05/26/2006
Last updated
08/28/2023
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