Wellovation Pllc | |
2101 Lockhill Selma Rd Ste 210 San Antonio TX 78213-1409 | |
(210) 792-1943 | |
Not Available |
Full Name | Wellovation Pllc |
---|---|
Speciality | Counselor |
Location | 2101 Lockhill Selma Rd Ste 210, San Antonio, Texas |
Authorized Official Name and Position | John Amundson (OWNER) |
Authorized Official Contact | 2107921943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellovation Pllc 10538 Legacy Cv San Antonio TX 78240-4475 Ph: (210) 792-1943 | Wellovation Pllc 2101 Lockhill Selma Rd Ste 210 San Antonio TX 78213-1409 Ph: (210) 792-1943 |
NPI Number | 1477152809 |
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Provider Enumeration Date | 10/16/2020 |
Last Update Date | 04/19/2024 |
Certification Date | 04/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477152809 | NPI | - | NPPES |
76536 | Other | PSYCHOLOGY, COUNSELOR, PSYCHIATRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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