Organization
SEXUAL LIFE IMPROVEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY IMHOLTE (OWNER)
(512) 431-3721
Entity
Organization
Contact information
Practice address
701 MORROW ST, AUSTIN, TX 78752-1337
(512) 431-3721
Mailing address
701 MORROW ST, AUSTIN, TX 78752-1337
(512) 431-3721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
51195
TX
Other
Enumeration date
06/08/2018
Last updated
06/16/2018
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