Water Stone Fire Darkness Pllc
NPI #1427769181 in Cedar Park, Texas
Provider Information
- NPI Number
- 1427769181
- Entity Type
- Organization
- Organization Name
- Water Stone Fire Darkness Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 13, 2022
- Last Updated
- Mar 3, 2023
Practice Location
- Address
- 3000 POLAR LN STE 602
- City
- Cedar Park
- State
- Texas
- ZIP Code
- 78613-3073
- Phone
- (832) 465-0100
Authorized Official
- Name
- RYAN DONOVAN, LPC
- Title
- CLINICIAN
- Phone
- (832) 465-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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