Organization
OAKVINE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA GENAE PATRICK (OWNER/CEO)
(512) 745-9446
Entity
Organization
Contact information
Practice address
2631 GATTIS SCHOOL RD STE 455, ROUND ROCK, TX 78664-2969
(512) 368-2809
(512) 284-7304
Mailing address
PO BOX 6082, ROUND ROCK, TX 78683-6082
(512) 745-9446
(512) 284-7304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/02/2021
Last updated
04/21/2026
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