Provider Demographics
NPI:1417538679
Name:NEW ROADS PSYCHOLOGICAL AND WELLNESS SERVICES TEXAS PLLC
Entity Type:Organization
Organization Name:NEW ROADS PSYCHOLOGICAL AND WELLNESS SERVICES TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBRUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-553-3846
Mailing Address - Street 1:PO BOX 1761
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-7761
Mailing Address - Country:US
Mailing Address - Phone:512-553-3846
Mailing Address - Fax:
Practice Address - Street 1:1811 N HWY 281
Practice Address - Street 2:BUILDING A, SUITE 6
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5702
Practice Address - Country:US
Practice Address - Phone:512-553-3846
Practice Address - Fax:830-953-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty