| Artvango Therapeutic Services, Inc. | |
|
3201 Cherry Ridge St Ste C318 San Antonio TX 78230-4826 | |
| (210) 387-2218 | |
| (833) 571-1220 |
| Full Name | Artvango Therapeutic Services, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3201 Cherry Ridge St Ste C318, San Antonio, Texas |
| Authorized Official Name and Position | Yadira G Puente (LICENSE PROFESSIONAL COUNSELOR, CEO) |
| Authorized Official Contact | 3032461419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artvango Therapeutic Services, Inc. 3201 Cherry Ridge St Ste C318 San Antonio TX 78230-4826 Ph: (210) 387-2218 | Artvango Therapeutic Services, Inc. 3201 Cherry Ridge St Ste C318 San Antonio TX 78230-4826 Ph: (210) 387-2218 |
| NPI Number | 1134635576 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134635576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 62172 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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