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NPI Code Detail

MEDICARE: RECLAIM U COUNSELING, PLLC

MEDICARE: RECLAIM U COUNSELING, PLLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1689450363
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECLAIM U COUNSELING, PLLC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 737-226-4101
Fax Number :
Provider Business Practice Location Address
First Line : 11824 JOLLYVILLE RD STE 103
Second Line :
City : AUSTIN
State : TX
Zip : 78759-2318
Country : US
Telephone Number : 737-226-4101
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JENNA WADE GARMAN
Credential : MA, LPC ASSOCIATE
Telephone Number : 737-226-4101
Provider Enumeration Date : 09/07/2023
Last Update Date : 09/07/2023

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Directions to “RECLAIM U COUNSELING, PLLC ” Practice Location

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