| Holistic Counseling Llc | |
|
200 E Inwood Forest Dr Wimberley TX 78676-5106 | |
| (512) 953-7382 | |
| Not Available |
| Full Name | Holistic Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 200 E Inwood Forest Dr, Wimberley, Texas |
| Authorized Official Name and Position | Eva Shaw (LCSW) |
| Authorized Official Contact | 5129537382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Counseling Llc 200 E Inwood Forest Dr Wimberley TX 78676-5106 Ph: (512) 953-7382 | Holistic Counseling Llc 200 E Inwood Forest Dr Wimberley TX 78676-5106 Ph: (512) 953-7382 |
| NPI Number | 1013555374 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 0446608624 |
|---|---|
| Medicare Enrollment ID | O20231128003902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013555374 | NPI | - | NPPES |
| 3418907 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eva Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124421706 PECOS PAC ID: 5193048643 Enrollment ID: I20150108001174 |
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