| Mindful Innovations Counseling Services, Pllc | |
|
1747 Citadel Plz Ste 205 San Antonio TX 78209 | |
| (210) 467-5395 | |
| Not Available |
| Full Name | Mindful Innovations Counseling Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1747 Citadel Plz Ste 205, San Antonio, Texas |
| Authorized Official Name and Position | Guillermo Rodriguez (OWNER) |
| Authorized Official Contact | 2107882762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Innovations Counseling Services, Pllc 1747 Citadel Plz Ste 205 San Antonio TX 78209-1017 Ph: (210) 467-5395 | Mindful Innovations Counseling Services, Pllc 1747 Citadel Plz Ste 205 San Antonio TX 78209 Ph: (210) 467-5395 |
| NPI Number | 1487055992 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Medicare PECOS PAC ID | 5092104935 |
|---|---|
| Medicare Enrollment ID | O20211115000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487055992 | NPI | - | NPPES |
| Provider Name | Tracey Cawthorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982850665 PECOS PAC ID: 1658516588 Enrollment ID: I20130326000248 |
| Provider Name | Bernadette Andrea Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138917 PECOS PAC ID: 9830529544 Enrollment ID: I20200421001433 |
| Provider Name | Martha Ann Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548882764 PECOS PAC ID: 7214356047 Enrollment ID: I20200929000959 |
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