| Creative Solutions Behavioral Health, Pllc | |
|
1464 E Whitestone Blvd Ste 1901 Cedar Park TX 78613-9077 | |
| (512) 798-3444 | |
| Not Available |
| Full Name | Creative Solutions Behavioral Health, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1464 E Whitestone Blvd Ste 1901, Cedar Park, Texas |
| Authorized Official Name and Position | Anthony C. Tzoumas (PSYCHOLOGIST) |
| Authorized Official Contact | 6103789601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Solutions Behavioral Health, Pllc 192 Concho Creek Loop Leander TX 78641-4226 Ph: (512) 798-3444 | Creative Solutions Behavioral Health, Pllc 1464 E Whitestone Blvd Ste 1901 Cedar Park TX 78613-9077 Ph: (512) 798-3444 |
| NPI Number | 1649824822 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Medicare PECOS PAC ID | 4082035779 |
|---|---|
| Medicare Enrollment ID | O20200604002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649824822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Leigh Tzoumas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174616239 PECOS PAC ID: 9436197209 Enrollment ID: I20200604001550 |
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