| Stellar Counseling Pllc | |
|
6502 Bandera Rd Ste 101 San Antonio TX 78238-1445 | |
| (210) 769-3811 | |
| (210) 634-2517 |
| Full Name | Stellar Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6502 Bandera Rd Ste 101, San Antonio, Texas |
| Authorized Official Name and Position | Jonette Lucio (LPC/OWNER) |
| Authorized Official Contact | 2107693811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Counseling Pllc 6502 Bandera Rd Ste 101 San Antonio TX 78238-1445 Ph: (210) 769-3811 | Stellar Counseling Pllc 6502 Bandera Rd Ste 101 San Antonio TX 78238-1445 Ph: (210) 769-3811 |
| NPI Number | 1780169839 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7113379249 |
|---|---|
| Medicare Enrollment ID | O20240114000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780169839 | NPI | - | NPPES |
| 1750717724 | Other | TX | INDIVIDUAL NPI |
| 327655202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Angela M Solis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518551076 PECOS PAC ID: 8921414731 Enrollment ID: I20210302002482 |
| Provider Name | Jonette C Lucio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750717724 PECOS PAC ID: 8022460153 Enrollment ID: I20240114000086 |
| Provider Name | Belen A Venegas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700416930 PECOS PAC ID: 2860830577 Enrollment ID: I20240401001380 |
| Provider Name | Lindsay D King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568965283 PECOS PAC ID: 2163862038 Enrollment ID: I20240425004155 |
| Provider Name | Callie R Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336999358 PECOS PAC ID: 4880034495 Enrollment ID: I20240430002619 |
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