MR. CHARLES JOHN ECKERMAN


Address: 4601 Spicewood Springs Road, Suite 4-200, Austin, TX 78730
Phone: 5124671376

MR. CHARLES JOHN ECKERMAN (NPI# 1902902786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902902786
Entity Type Individual
Full Name MR. CHARLES JOHN ECKERMAN
Credential LPC
Practice Address 4601 Spicewood Springs Road
Suite 4-200
Austin
TX 78730
Practice Telephone 5124671376
Practice Fax Number 5124678658
Mailing Telephone 5124671376
Mailing Fax Number 5124678658
Enumeration Date 2006-09-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
TX13088 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4601 SPICEWOOD SPRINGS ROAD
SUITE 4-200
City AUSTIN
State TX
Zip Code 78730

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1154936235 David Barrett Counselor 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 2020-09-15
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Competitor

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City AUSTIN
Zip Code 78730

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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