Organization
EYE OF THE HEART, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA MONIQUE CARR (LICENSED CLINICAL SOCIAL WORKER)
(512) 297-8717
Entity
Organization
Contact information
Practice address
4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
(512) 297-8717
(888) 395-2986
Mailing address
4403 MANCHACA RD, SUITE D, AUSTIN, TX 78745-1680
(512) 297-8717
(888) 395-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27129
TX
Other
Enumeration date
03/13/2012
Last updated
11/04/2014
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