| Hiatus Wellness Llc | |
|
1205 N Hwy 123 Ste 305 San Marcos TX 78666-7756 | |
| (512) 522-9811 | |
| (888) 974-0284 |
| Full Name | Hiatus Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1205 N Hwy 123 Ste 305, San Marcos, Texas |
| Authorized Official Name and Position | Jennifer Denitra Popovich (OWNER) |
| Authorized Official Contact | 5125229811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiatus Wellness Llc 1205 N Hwy 123 Ste 305 San Marcos TX 78666-7756 Ph: (512) 522-9811 | Hiatus Wellness Llc 1205 N Hwy 123 Ste 305 San Marcos TX 78666-7756 Ph: (512) 522-9811 |
| NPI Number | 1891397949 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891397949 | NPI | - | NPPES |
| 1801298344 | Other | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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