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NPI Code Detail

MEDICARE: PERSON-CENTERED PSYCHIATRY & PSYCHOTHERAPY, PLLC

MEDICARE: PERSON-CENTERED PSYCHIATRY & PSYCHOTHERAPY, 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
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
32084P0800XPsychiatry Physician
4363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1366001661
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERSON-CENTERED PSYCHIATRY & PSYCHOTHERAPY, PLLC
Provider Business Mailing Address
First Line : 1801 W KOENIG LN
Second Line :
City : AUSTIN
State : TX
Zip : 78756-1208
Country : US
Telephone Number : 512-553-5382
Fax Number :
Provider Business Practice Location Address
First Line : 1801 W KOENIG LN
Second Line :
City : AUSTIN
State : TX
Zip : 78756-1208
Country : US
Telephone Number : 512-553-5382
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : KERRY ELIZABETH MILLER
Credential : LCSW
Telephone Number : 512-553-5382
Provider Enumeration Date : 06/10/2019
Last Update Date : 06/10/2019

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Directions to “PERSON-CENTERED PSYCHIATRY & PSYCHOTHERAPY, PLLC ” Practice Location

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