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Organization
GERIATRIC EVALUATION AND MENTAL HEALTH SERVICES PLLC
Active
Organization
GERIATRIC EVALUATION AND MENTAL HEALTH SERVICES PLLC
Active
Other names
Senior Connections of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL THORNELL (CREDENTIALING SPECIALIST)
(832) 448-2800
Entity
Organization
Contact information
Practice address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Mailing address
12012 WICKCHESTER LN, SUITE 550, HOUSTON, TX 77079-1229
(832) 448-2800
(832) 448-2801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ2265
RAILROAD
TX
Enumeration date
06/04/2006
Last updated
11/12/2007
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