| Moon Rabbit Counseling Pllc | |
|
2520 Longview St Ste 410 Austin TX 78705-4257 | |
| (512) 775-2093 | |
| Not Available |
| Full Name | Moon Rabbit Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2520 Longview St Ste 410, Austin, Texas |
| Authorized Official Name and Position | Elaine Anne Yip (MANAGING MEMBER) |
| Authorized Official Contact | 5127752093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Rabbit Counseling Pllc 2520 Longview St Ste 410 Austin TX 78705-4257 Ph: (512) 775-2093 | Moon Rabbit Counseling Pllc 2520 Longview St Ste 410 Austin TX 78705-4257 Ph: (512) 775-2093 |
| NPI Number | 1053986604 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Medicare PECOS PAC ID | 3870992498 |
|---|---|
| Medicare Enrollment ID | O20210601001472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053986604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elaine Anne Yip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639402183 PECOS PAC ID: 4789083304 Enrollment ID: I20210601001555 |
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