Provider Demographics
NPI:1811921091
Name:ROLLING HILLS BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:ROLLING HILLS BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GREENSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:512-964-9666
Mailing Address - Street 1:14021 GENESEE TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-5045
Mailing Address - Country:US
Mailing Address - Phone:512-964-9666
Mailing Address - Fax:
Practice Address - Street 1:14021 GENESEE TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-5045
Practice Address - Country:US
Practice Address - Phone:512-964-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166390801Medicaid
300012XMedicare PIN