Organization
PROVIDENCE SERVICE CORPORATION OF TEXAS
Active
Other names
Providence Service Corporation of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WIER (BILLING COORDINATOR)
(512) 343-8606
Entity
Organization
Contact information
Practice address
1524 S. IH35, SUITE 210, AUSTIN, TX 78704
(512) 343-8606
(512) 343-8620
Mailing address
1524 S. IH35, SUITE 210, AUSTIN, TX 78704
(512) 343-8606
(512) 343-8620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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