Organization
ART FULL LIFE AUSTIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE E GREEN LPC AT/S, ATR-BC (OWNER)
(512) 636-9838
Entity
Organization
Contact information
Practice address
1101 ARROW POINT DR STE 207, CEDAR PARK, TX 78613-7739
(512) 636-9838
Mailing address
1005 LITTLE ELM PARK, AUSTIN, TX 78758-6712
(512) 636-9838
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351294901
—
TX
Enumeration date
01/05/2017
Last updated
01/05/2017
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