Organization
GLC WELLNESS CENTER AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLLINS WATTS HARRIS IV (CEO)
(816) 419-5756
Entity
Organization
Contact information
Practice address
3781 PARADISE HILLS DR APT 29201, EULESS, TX 76040-2413
(816) 419-5756
Mailing address
3781 PARADISE HILLS DR APT 29201, EULESS, TX 76040-2413
(816) 419-5756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
06/04/2022
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