Organization
ECOHEALTH THERAPY PLLC
Active
Other names
EcoHealth Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L ZIMMERMANN LCSW (CLINICAL DIRECTOR)
(512) 436-3257
Entity
Organization
Contact information
Practice address
3000 POLAR LANE, SUITE 701, CEDAR PARK, TX 78613
(512) 436-3257
Mailing address
200 UNIVERSITY BLVD STE 225-261, ROUND ROCK, TX 78665-1001
(512) 436-3257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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