| Pegasus Counseling | |
|
1823 Fortview Rd Ste 104 Austin TX 78704-7663 | |
| (512) 710-5655 | |
| Not Available |
| Full Name | Pegasus Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1823 Fortview Rd Ste 104, Austin, Texas |
| Authorized Official Name and Position | John Robert Horton-young (OWNER) |
| Authorized Official Contact | 5127105655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegasus Counseling 1823 Fortview Rd Ste 104 Austin TX 78704-7663 Ph: (512) 710-5655 | Pegasus Counseling 1823 Fortview Rd Ste 104 Austin TX 78704-7663 Ph: (512) 710-5655 |
| NPI Number | 1104432319 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104432319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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