210 PSYCHIATRY & PSYCHOTHERAPY PLLC NPI 1730791088

NPI Information

NPI: 1730791088
Provider Name: 210 PSYCHIATRY & PSYCHOTHERAPY, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
14800 SAN PEDRO AVE STE 110
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 490-9850
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210 PSYCHIATRY & PSYCHOTHERAPY, PLLC is a psychiatric/mental health nurse practitioner in San Antonio, TX. 210 PSYCHIATRY & PSYCHOTHERAPY, PLLC NPI is 1730791088. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14800 SAN PEDRO AVE STE 110
SAN ANTONIO, TX
ZIP 78232-734
Phone: (210) 490-9850
Fax: (210) 796-2839

The provider's authorized official is Sean Ireland Huckleberry .
The authorized official title is Owner/psychiatric Nurse Practitione and has the following contact phone number (210) 796-2839.

The enumeration date for this NPI number is 8/18/2020 and was last updated on 8/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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