Provider Demographics
NPI:1689312159
Name:GUARANTEED RECOVERY SERVICES PC
Entity type:Organization
Organization Name:GUARANTEED RECOVERY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSINDI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PHD
Authorized Official - Phone:405-209-3575
Mailing Address - Street 1:900 E PECAN ST UNIT 300-315
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-8048
Mailing Address - Country:US
Mailing Address - Phone:405-209-3575
Mailing Address - Fax:
Practice Address - Street 1:1000 HERITAGE CENTER CIR STE 102
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4463
Practice Address - Country:US
Practice Address - Phone:512-202-0544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health