MEDICARE: ELIZABETH GENE MINGER

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
1	101YM0800X	Mental Health Counselor	92038	TX

General Provider Information

NPI Number	:	1033993019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH GENE MINGER

Provider Business Mailing Address
First Line	:	5701 S MOPAC EXPY APT 928
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-1442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 W SLAUGHTER LN STE C
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5712
Country	:	US
Telephone Number	:	512-200-2529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2023
Last Update Date	:	04/30/2024

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Directions to “ ELIZABETH GENE MINGER ” Practice Location

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