Stone Creek Psychotherapy And Wellness Center
Counselor, Professional in San Antonio, TX. Organization (NPI-2).
NPI number1144591017
StatusActive
Last updated in NPPESJan 24, 2012
Details
- NPI
- 1144591017
- Entity type
- Organization (NPI-2)
- Legal business name
- Stone Creek Psychotherapy And Wellness Center
- Organization subpart
- No
- Enumeration date
- Jan 24, 2012
- Last updated
- Jan 24, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 66352 | TX | Yes |
| 106H00000X | Marriage & Family Therapist | 201561 | TX |
Practice location
8207 Callaghan Rd Ste 425San Antonio, TX 78230-4737
Phone 210-414-7558
Mailing address
8207 Callaghan Rd Ste 425San Antonio, TX 78230-4737
Phone 210-414-7558
Authorized official
Melanie Cross
Office Manager
2815790703
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