| Healing Spaces Therapy Pllc | |
|
8700 Menchaca Rd Ste 801 Austin TX 78748-5379 | |
| (512) 200-4971 | |
| Not Available |
| Full Name | Healing Spaces Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 8700 Menchaca Rd Ste 801, Austin, Texas |
| Authorized Official Name and Position | Mayra Rocio Sigala-ramon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5122004971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Spaces Therapy Pllc 8700 Menchaca Rd Ste 801 Austin TX 78748-5379 Ph: (512) 200-4971 | Healing Spaces Therapy Pllc 8700 Menchaca Rd Ste 801 Austin TX 78748-5379 Ph: (512) 200-4971 |
| NPI Number | 1699532572 |
|---|---|
| Provider Enumeration Date | 03/06/2024 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 7214458397 |
|---|---|
| Medicare Enrollment ID | O20250305002049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699532572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mayra Sigala-ramon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821658295 PECOS PAC ID: 9032630116 Enrollment ID: I20250305002343 |
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