Organization
AUSTIN RESTORATIVE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK TREADWAY-TERAN LMFT (EXECUTIVE OFFICER)
(512) 430-0540
Entity
Organization
Contact information
Practice address
6448 E HIGHWAY 290, BUILDING E # 114, AUSTIN, TX 78723-1068
(512) 430-0540
(866) 788-3579
Mailing address
6448 E HIGHWAY 290, BUILDING E # 114, AUSTIN, TX 78723-1068
(512) 430-0540
(866) 788-3579
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
201227
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
40138
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
201227
TX
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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