Organization
DEEP EDDY ADVANCED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MAURER (CEO)
(281) 772-1151
Entity
Organization
Contact information
Practice address
2600 W STASSNEY LN, AUSTIN, TX 78745-3401
(512) 469-0889
Mailing address
2600 W STASSNEY LN, AUSTIN, TX 78745-3401
(512) 469-0889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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