| Mind Your Self | |
|
1314 Fontaine Dr San Antonio TX 78219-2515 | |
| (210) 819-1435 | |
| (210) 503-5867 |
| Full Name | Mind Your Self |
|---|---|
| Speciality | Social Worker |
| Location | 1314 Fontaine Dr, San Antonio, Texas |
| Authorized Official Name and Position | Carla Lee Groves (OWNER) |
| Authorized Official Contact | 2108191435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Your Self 1314 Fontaine Dr San Antonio TX 78219-2515 Ph: (210) 819-1435 | Mind Your Self 1314 Fontaine Dr San Antonio TX 78219-2515 Ph: (210) 819-1435 |
| NPI Number | 1649653908 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Medicare PECOS PAC ID | 0648585067 |
|---|---|
| Medicare Enrollment ID | O20150813012253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649653908 | NPI | - | NPPES |
| 60147 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 60147 (Texas) | Primary |
| Provider Name | Linda A Pusateri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912219320 PECOS PAC ID: 9638367006 Enrollment ID: I20101229000615 |
| Provider Name | Carla Groves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255729943 PECOS PAC ID: 1759605173 Enrollment ID: I20150113001099 |
| Provider Name | Valeria S Lerma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710335914 PECOS PAC ID: 7315238532 Enrollment ID: I20160620000475 |
| Provider Name | Christina F Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437680493 PECOS PAC ID: 2769769728 Enrollment ID: I20170501001985 |
| Provider Name | Efrem Darron Dehughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679088876 PECOS PAC ID: 8921366956 Enrollment ID: I20171221001624 |
| Provider Name | Mary Elizabeth Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700343530 PECOS PAC ID: 4284974791 Enrollment ID: I20190320001444 |
| Provider Name | Brandy Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598360653 PECOS PAC ID: 3072926450 Enrollment ID: I20201231001261 |
| Provider Name | Kenya P Rouska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649864190 PECOS PAC ID: 0648686410 Enrollment ID: I20210303001815 |
| Provider Name | Elizabeth Grace Ramirez-sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174198238 PECOS PAC ID: 3779984075 Enrollment ID: I20210624000356 |
| Provider Name | Leah E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821667361 PECOS PAC ID: 4789088576 Enrollment ID: I20210802000001 |
| Provider Name | Ana L Zendejas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619644903 PECOS PAC ID: 1052717980 Enrollment ID: I20210901001501 |
| Provider Name | Dawnn D Reale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457733776 PECOS PAC ID: 0648662643 Enrollment ID: I20220125002759 |
| Provider Name | Erica Losoya-wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003576299 PECOS PAC ID: 4082006093 Enrollment ID: I20220126000128 |
| Provider Name | Catherine A Drouillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982348140 PECOS PAC ID: 7214324672 Enrollment ID: I20220503002748 |
| Provider Name | Mia D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477925469 PECOS PAC ID: 3072995943 Enrollment ID: I20220809003024 |
| Provider Name | Tessa M Gee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568185189 PECOS PAC ID: 7416333265 Enrollment ID: I20220930001241 |
| Provider Name | Brandy N Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124722038 PECOS PAC ID: 6507231727 Enrollment ID: I20230331000557 |
| Provider Name | Alyssa B Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124722020 PECOS PAC ID: 2062887888 Enrollment ID: I20230410001945 |
| Provider Name | Henry Webb Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770275398 PECOS PAC ID: 9032576715 Enrollment ID: I20230612002089 |
| Provider Name | Jasmine D Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396405593 PECOS PAC ID: 0749630614 Enrollment ID: I20231219002774 |
| Provider Name | Marisa M Vasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184299315 PECOS PAC ID: 9931559598 Enrollment ID: I20231221002898 |
| Provider Name | Lorissa Garza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508333428 PECOS PAC ID: 4880044304 Enrollment ID: I20231226001739 |
| Provider Name | Carina Gaspar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710639216 PECOS PAC ID: 6305296591 Enrollment ID: I20231229002973 |
| Provider Name | Janna Wallace-lennox |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821663048 PECOS PAC ID: 4082066162 Enrollment ID: I20240115001644 |
| Provider Name | Maria A Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295320513 PECOS PAC ID: 7911340294 Enrollment ID: I20240205001224 |
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