Provider Demographics
NPI:1104400613
Name:CENTRAL TEXAS CASE MANAGEMENT SERVICES, PLLC
Entity Type:Organization
Organization Name:CENTRAL TEXAS CASE MANAGEMENT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:737-207-2165
Mailing Address - Street 1:PO BOX 152363
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78715-2363
Mailing Address - Country:US
Mailing Address - Phone:737-207-2165
Mailing Address - Fax:
Practice Address - Street 1:5809 ABBY ANN LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-2732
Practice Address - Country:US
Practice Address - Phone:512-634-7346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management