| Canvas Mental Health Pllc | |
|
14603 Huebner Rd Ste 3505 San Antonio TX 78230-5469 | |
| (210) 985-1900 | |
| (210) 985-1905 |
| Full Name | Canvas Mental Health Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14603 Huebner Rd Ste 3505, San Antonio, Texas |
| Authorized Official Name and Position | Nicholas H Gaultney (MANAGER) |
| Authorized Official Contact | 2109851900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Mental Health Pllc Po Box 591245 San Antonio TX 78259-0112 Ph: (210) 985-1900 | Canvas Mental Health Pllc 14603 Huebner Rd Ste 3505 San Antonio TX 78230-5469 Ph: (210) 985-1900 |
| NPI Number | 1154085611 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154085611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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