Organization
REBEL IN BLOOM, PLLC
Active
Organization
REBEL IN BLOOM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA LUX AMARI LCSW (OWNER/PSYCHOTHERAPIST)
(512) 920-5317
Entity
Organization
Contact information
Practice address
2525 SOUTH LAMAR BLVD, STE 15, AUSTIN, TX 78704-4789
(512) 920-5317
(512) 920-5317
Mailing address
2525 SOUTH LAMAR BLVD, STE 15, AUSTIN, TX 78704-4789
(512) 920-5317
(512) 920-5317
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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