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NPI Code Detail

MEDICARE: HOPE TRIBE COUNSELING PLLC

MEDICARE: HOPE TRIBE 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
11041C0700XClinical Social Worker
2261QM0850XAdult Mental Health Clinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1386229649
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE TRIBE COUNSELING PLLC
Provider Business Mailing Address
First Line : 1911 AUTUMN RUN LN
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-5032
Country : US
Telephone Number : 408-821-9741
Fax Number :
Provider Business Practice Location Address
First Line : 1911 AUTUMN RUN LN
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-5032
Country : US
Telephone Number : 512-843-1819
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : TERESA FRANZ
Credential : LCSW
Telephone Number : 512-843-1819
Provider Enumeration Date : 03/17/2021
Last Update Date : 03/17/2021

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