| Holistic Healing Slp | |
|
302 Black Buffalo Rd Bastrop TX 78602-2278 | |
| (830) 515-3633 | |
| Not Available |
| Full Name | Holistic Healing Slp |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Black Buffalo Rd, Bastrop, Texas |
| Authorized Official Name and Position | Moira K Gallagher (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 5127983352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Healing Slp 302 Black Buffalo Rd Bastrop TX 78602-2278 Ph: (512) 798-3352 | Holistic Healing Slp 302 Black Buffalo Rd Bastrop TX 78602-2278 Ph: (830) 515-3633 |
| NPI Number | 1427933753 |
|---|---|
| Provider Enumeration Date | 08/06/2025 |
| Last Update Date | 07/24/2026 |
| Certification Date | 07/24/2026 |
| Medicare PECOS PAC ID | 0446755441 |
|---|---|
| Medicare Enrollment ID | O20250922003105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427933753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Moira Kelly Gallagher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306728647 PECOS PAC ID: 1355846353 Enrollment ID: I20250922003264 |
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