Organization
PRESTIGIOUS GUIDANCE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENIECE LACELL RUSSELL-MCADORY NURSE PRACTITIONER (NURSE PRACTITIONER/OWNER)
(512) 567-7012
Entity
Organization
Contact information
Practice address
119 STONE FORK LN, HUTTO, TX 78634-2216
(512) 567-7012
Mailing address
6507 W HWY 290 STE 607, AUSTIN, TX 78735
(512) 843-5169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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