| Pamela Gates Ma Lpc, Lcdc, Inc | |
|
2499 S Capital Of Texas Hwy Bldg. B, Suite 201 Austin TX 78746-7762 | |
| (512) 328-2563 | |
| Not Available |
| Full Name | Pamela Gates Ma Lpc, Lcdc, Inc |
|---|---|
| Speciality | Counselor |
| Location | 2499 S Capital Of Texas Hwy, Austin, Texas |
| Authorized Official Name and Position | Pamela H Gates (PRESIDENT) |
| Authorized Official Contact | 5123282563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Gates Ma Lpc, Lcdc, Inc 616 Peterson Ln Lakeway TX 78734-4108 Ph: (512) 328-2563 | Pamela Gates Ma Lpc, Lcdc, Inc 2499 S Capital Of Texas Hwy Bldg. B, Suite 201 Austin TX 78746-7762 Ph: (512) 328-2563 |
| NPI Number | 1225243470 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225243470 | NPI | - | NPPES |
| 0019EX | Other | TX | BLUE CROSS BLE SHILED |
| 2163917 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6991 (Texas) | Primary |
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