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Organization
GRAMERCY SPECIALTY CLINIC PLLC
Active
Organization
GRAMERCY SPECIALTY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALEGRIA (EXECUTIVE DIRECTOR)
(512) 777-2686
Entity
Organization
Contact information
Practice address
4009 BANISTER LN STE 355, AUSTIN, TX 78704-7040
(512) 777-2686
Mailing address
4009 BANISTER LN STE 355, AUSTIN, TX 78704-7040
(512) 777-2686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/20/2014
Last updated
01/11/2024
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