| Vine Behavioral Health And Wellness, Pllc | |
|
8000 W Interstate 10 Ste 626 San Antonio TX 78230-3868 | |
| (210) 900-0252 | |
| Not Available |
| Full Name | Vine Behavioral Health And Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8000 W Interstate 10 Ste 626, San Antonio, Texas |
| Authorized Official Name and Position | Karissa M Nauert (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2109000252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Behavioral Health And Wellness, Pllc 8000 W Interstate 10 Ste 626 San Antonio TX 78230-3868 Ph: (210) 900-0252 | Vine Behavioral Health And Wellness, Pllc 8000 W Interstate 10 Ste 626 San Antonio TX 78230-3868 Ph: (210) 900-0252 |
| NPI Number | 1518649441 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 8729440854 |
|---|---|
| Medicare Enrollment ID | O20230821003853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518649441 | NPI | - | NPPES |
| Provider Name | Karissa Monique Nauert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962753491 PECOS PAC ID: 1052679016 Enrollment ID: I20171220001585 |
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