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NPI Code Detail

MEDICARE: OAKVINE RECOVERY CENTER LLC

MEDICARE: OAKVINE RECOVERY CENTER LLC
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
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3363LP0808XPsychiatric/Mental Health Nurse Practitioner
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
51041C0700XClinical Social Worker
6261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1841866555
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAKVINE RECOVERY CENTER LLC
Provider Business Mailing Address
First Line : PO BOX 6082
Second Line :
City : ROUND ROCK
State : TX
Zip : 78683-6082
Country : US
Telephone Number : 512-368-2809
Fax Number : 512-284-7304
Provider Business Practice Location Address
First Line : 2631 GATTIS SCHOOL RD STE 455
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2969
Country : US
Telephone Number : 512-368-2809
Fax Number : 512-284-7304
Authorized Official
Title or Position : OWNER/CEO
Name : RHONDA GENAE PATRICK
Credential :
Telephone Number : 512-368-2809
Provider Enumeration Date : 06/02/2021
Last Update Date : 01/20/2026

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Directions to “OAKVINE RECOVERY CENTER LLC ” Practice Location

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