Mia Roldan Austin Therapy PLLC
Social Worker, Clinical in Austin, TX. Organization (NPI-2).
NPI number1982169496
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1982169496
- Entity type
- Organization (NPI-2)
- Legal business name
- Mia Roldan Austin Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
4101 Medical Pkwy Ste 109Austin, TX 78756-3724
Phone 512-413-0239
Mailing address
6104 Shoal Creek BlvdAustin, TX 78757-3130
Phone 512-413-0239
Authorized official
Anna-Marie Christina Roldan
Owner
5124130239
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