| Beyond The Root Counseling And Consulting,pllc | |
|
24028 Gavarra San Antonio TX 78261-2971 | |
| (210) 937-1049 | |
| (210) 783-1054 |
| Full Name | Beyond The Root Counseling And Consulting,pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24028 Gavarra, San Antonio, Texas |
| Authorized Official Name and Position | Tawanna M Hudson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2107047460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Root Counseling And Consulting,pllc 18018 Overlook Loop Ste 105 #243 San Antonio TX 78259 Ph: (210) 704-7460 | Beyond The Root Counseling And Consulting,pllc 24028 Gavarra San Antonio TX 78261-2971 Ph: (210) 937-1049 |
| NPI Number | 1427658954 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427658954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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