Organization
GENERATION ABLE
Active
Other names
Generation Able
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN WOODARD LMSW (CHIEF EXECUTIVE OFFICER)
(904) 415-6748
Entity
Organization
Contact information
Practice address
8100 W ANDERSON MILL RD APT 3102, AUSTIN, TX 78729
(904) 415-6748
Mailing address
8100 W ANDERSON MILL RD APT 3102, AUSTIN, TX 78729
(904) 415-6748
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
TX
Enumeration date
09/20/2018
Last updated
09/20/2018
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