Organization
HILL COUNTRY ART THERAPY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE DETTMER (OWNER)
(512) 773-1687
Entity
Organization
Contact information
Practice address
15401 RANCH ROAD 12 STE 107, WIMBERLEY, TX 78676-6245
(512) 842-7550
Mailing address
15401 RANCH ROAD 12 STE 107, WIMBERLEY, TX 78676-6245
(512) 842-7550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
73586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73586
LICENSE
TX
Enumeration date
03/25/2016
Last updated
09/01/2016
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