Organization
JOYCE WOLF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL VILLAREAL (OFFICE MANAGER)
(512) 461-0239
Entity
Organization
Contact information
Practice address
2499 S CAPITAL OF TEXAS HWY STE A200, AUSTIN, TX 78746-7753
(512) 461-0239
Mailing address
2499 S CAPITAL OF TEXAS HWY STE A200, AUSTIN, TX 78746-7753
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174722862
NPI
TX
Enumeration date
11/16/2017
Last updated
11/16/2017
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