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NPI Code Detail

MEDICARE: MS. TINA RIX LMFT

MEDICARE: MS. TINA RIX LMFT
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
1101Y00000XCounselor
2101200000XDrama Therapist
3101YA0400XAddiction (Substance Use Disorder) CounselorTX
4101YP2500XProfessional Counselor
5102L00000XPsychoanalyst
6261QM0850XAdult Mental Health Clinic/Center
7106H00000XMarriage & Family Therapist201745TX
8133N00000XNutritionist
9133NN1002XNutrition Education Nutritionist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285971267
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TINA RIX LMFT
Provider Business Mailing Address
First Line : 100 CONGRESS AVE STE 2000
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2745
Country : US
Telephone Number : 832-865-2332
Fax Number : 832-917-0121
Provider Business Practice Location Address
First Line : 100 CONGRESS AVE STE 2000
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2745
Country : US
Telephone Number : 832-865-2332
Fax Number : 512-233-2540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2013
Last Update Date : 04/14/2022

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