Organization · NPI-2

Bluebonnet Trails Community Mhmr Center

Clinic/Center, Mental Health (Including Community Mental Health Center) · Round Rock, TX

NPI number1730135864

StatusActive

Last updated in NPPESAug 28, 2023

Details

NPI: 1730135864
Entity type: Organization (NPI-2)
Legal business name: Bluebonnet Trails Community Mhmr Center
Organization subpart: No
Enumeration date: May 26, 2006
Certification date: Aug 28, 2023
Last updated: Aug 28, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
207Q00000X	Family Medicine	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103T00000X	Psychologist	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TC0700X	Psychologist, Clinical	–	–
103TC2200X	Psychologist, Clinical Child & Adolescent	–	–
103TM1800X	Psychologist, Intellectual & Developmental Disabilities	–	–
103TR0400X	Psychologist, Rehabilitation	–	–
104100000X	Social Worker	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–

Other names

Bluebonnet Trails Community Services (Doing Business As)

Practice location

1009 N Georgetown St
Round Rock, TX 78664-3289

Phone 512-255-1720 · Fax 512-244-8371

Mailing address

1009 N Georgetown St
Round Rock, TX 78664-3289

Phone 512-255-1720 · Fax 512-244-8371

Authorized official

Amy Bodkins
Manager
5122448374

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