Healthcare Provider Details

I. General information

NPI: 1801936133
Provider Name (Legal Business Name): SAMARITAN CENTER FOR COUNSELING AND PASTORAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 06/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8956 RESEARCH BLVD BLDG 2
AUSTIN TX
78758
US

IV. Provider business mailing address

8956 RESEARCH BLVD BLDG. 2
AUSTIN TX
78758
US

V. Phone/Fax

Practice location:
  • Phone: 512-451-7337
  • Fax: 512-451-8729
Mailing address:
  • Phone: 512-451-7337
  • Fax: 512-451-8729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CINDY LONG
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 512-451-7337