| Mindful Vida Counseling Pllc | |
|
3030 Nacogdoches Rd Ste 120 San Antonio TX 78217-4502 | |
| (737) 747-8349 | |
| Not Available |
| Full Name | Mindful Vida Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3030 Nacogdoches Rd Ste 120, San Antonio, Texas |
| Authorized Official Name and Position | Rosemary O Villarreal (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2106334627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Vida Counseling Pllc 8315 Norcrest Dr Converse TX 78109-3278 Ph: () - | Mindful Vida Counseling Pllc 3030 Nacogdoches Rd Ste 120 San Antonio TX 78217-4502 Ph: (737) 747-8349 |
| NPI Number | 1730965088 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 7012364763 |
|---|---|
| Medicare Enrollment ID | O20231117000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730965088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cristela C Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285314351 PECOS PAC ID: 2567819212 Enrollment ID: I20231117001392 |
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