| The Conscious Creator Counseling | |
|
1100 Nw Loop 410 Ste 700 San Antonio TX 78213-2258 | |
| (210) 843-6616 | |
| Not Available |
| Full Name | The Conscious Creator Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1100 Nw Loop 410 Ste 700, San Antonio, Texas |
| Authorized Official Name and Position | Mary Jennifer Peasron (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2108510803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Conscious Creator Counseling 9910 Baytown Coast San Antonio TX 78254-4715 Ph: (210) 851-0803 | The Conscious Creator Counseling 1100 Nw Loop 410 Ste 700 San Antonio TX 78213-2258 Ph: (210) 843-6616 |
| NPI Number | 1861262875 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861262875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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