| Eleven Eleven Counseling And Wellness | |
|
4081 De Zavala Rd Ste 201 Shavano Park TX 78249-2082 | |
| (210) 326-7202 | |
| Not Available |
| Full Name | Eleven Eleven Counseling And Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4081 De Zavala Rd Ste 201, Shavano Park, Texas |
| Authorized Official Name and Position | Cassandra Jean Ledezma (OWNER) |
| Authorized Official Contact | 2103267202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleven Eleven Counseling And Wellness 10011 Stagecoach Bay San Antonio TX 78254-5904 Ph: (210) 326-7202 | Eleven Eleven Counseling And Wellness 4081 De Zavala Rd Ste 201 Shavano Park TX 78249-2082 Ph: (210) 326-7202 |
| NPI Number | 1255010948 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255010948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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