| Camino Real Community Mhmr Center | |
|
19965 Fm 3175 North Lytle TX 78052 | |
| (210) 357-0300 | |
| (210) 357-0458 |
| Full Name | Camino Real Community Mhmr Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19965 Fm 3175 North, Lytle, Texas |
| Authorized Official Name and Position | Tracy Loren Wilson (REIMBURSEMENT OFFICER) |
| Authorized Official Contact | 2103570300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camino Real Community Mhmr Center Po Box 725 Lytle TX 78052-0725 Ph: (210) 357-0300 | Camino Real Community Mhmr Center 19965 Fm 3175 North Lytle TX 78052 Ph: (210) 357-0300 |
| NPI Number | 1487751715 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487751715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | NONE (* (Not Available)) | Primary |
Country Breeze Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16486 Fm 463, Lytle, TX 78052 Phone: 830-709-0711 Fax: 830-772-3808 | |
Camino Real Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19965 Fm 3175, Lytle, TX 78052 Phone: 210-357-0300 Fax: 830-772-4305 | |
Camino Real Community Mhmr Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19965 Fm 3175 N, Lytle, TX 78052 Phone: 210-357-0300 Fax: 210-357-0458 |