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NPI Code Detail

MEDICARE: CENTER FOR RECOVERY AND RECONNECTION

MEDICARE: CENTER FOR RECOVERY AND RECONNECTION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1144177197
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR RECOVERY AND RECONNECTION
Provider Business Mailing Address
First Line : 13706 N HWY 183 STE 114
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1838
Country : US
Telephone Number : 512-284-1533
Fax Number :
Provider Business Practice Location Address
First Line : 13706 N HWY 183 STE 114
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1838
Country : US
Telephone Number : 512-284-1533
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : DR. KELLY ELIZABETH GREEN
Credential : PHD
Telephone Number : 512-284-1533
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “CENTER FOR RECOVERY AND RECONNECTION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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