| Elaine's Trio Group, Llc | |
|
512 Bowie Universal City TX 78148-4407 | |
| (210) 446-8797 | |
| Not Available |
| Full Name | Elaine's Trio Group, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 512 Bowie, Universal City, Texas |
| Authorized Official Name and Position | Tu'sheila E. Stewart (OWNER) |
| Authorized Official Contact | 2104468797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine's Trio Group, Llc 133 Willow Vw Cibolo TX 78108-2261 Ph: (210) 446-8797 | Elaine's Trio Group, Llc 512 Bowie Universal City TX 78148-4407 Ph: (210) 446-8797 |
| NPI Number | 1609240167 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609240167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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