Phoenix Thriving, Pllc

NPI 1295084101 - Social Worker - 1041C0700X

NPI Details
NPI 1295084101
Enumeration Date 09/06/2012
Last Updated 09/06/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HEATHER L HEATHER
Position PRESIDENT AND MANAGER
Phone (512) 560-7294
Fax (512) 524-1412
Practice Location
3400 KERBEY LN
AUSTIN TX, 78703-1455, US
Phone (512) 560-7294
Fax (512) 524-1412
Business Location
3400 KERBEY LN
BOX 55
AUSTIN TX, 78703-1455, US
Phone (512) 560-7294
Fax (512) 524-1412
Toxanomy
Taxonomy Code 1041C0700X
License State Texas
License Number 39631
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According to our database, Phoenix Thriving, Pllc NPI is 1295084101, taxonomy code is 1041C0700X and license number is 39631, license state is located at Texas. Phoenix Thriving, Pllc physically located at 3400 Kerbey Ln, Austin TX, 78703-1455. NPI Number 1033115704 has the healthcare provider type.

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1295084101 NPI number is provided on an as is basis without warranty of any kind. 1295084101 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Thriving, Pllc are for informational purposes only.