Organization
RESURFACE GROUP OF AUSTIN PLLC
Active
Other names
Resurface Group of Austin PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA REEVES LMFT (PRESIDENT)
(936) 332-2970
Entity
Organization
Contact information
Practice address
1609 NORRIS DR, AUSTIN, TX 78704-2805
(959) 540-9729
Mailing address
2900 BRISTOL ST STE B320, COSTA MESA, CA 92626-5987
(949) 540-9729
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801595806
PROVIDER NUMBER
TX
Enumeration date
03/27/2023
Last updated
10/08/2024
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