Organization
EMERGE RECOVERY TX, LLC
Active
Other names
Emerge Recovery TX, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREL KATHERINE TRACY MBA, LCDC-I (DIRECTOR OF OPERATIONS)
(832) 477-4325
Entity
Organization
Contact information
Practice address
7756 NORTHCROSS DR STE 203, AUSTIN, TX 78757-1725
(737) 237-9663
(833) 318-0324
Mailing address
7756 NORTHCROSS DR STE 203, AUSTIN, TX 78757-1725
(737) 237-9663
(833) 318-0324
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
TX
Enumeration date
08/23/2021
Last updated
08/23/2021
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