HIATUS WELLNESS LLC NPI 1891397949

NPI Information

NPI: 1891397949
Provider Name: HIATUS WELLNESS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1205 N HWY 123 STE 305
SAN MARCOS, TX
ZIP 78666
Phone: (512) 522-9811
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HIATUS WELLNESS LLC is a mental health counselor in San Marcos, TX. HIATUS WELLNESS LLC NPI is 1891397949. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1205 N HWY 123 STE 305
SAN MARCOS, TX
ZIP 78666-756
Phone: (512) 522-9811
Fax: (888) 974-0284

The provider's authorized official is Jennifer Denitra Popovich .
The authorized official title is Owner and has the following contact phone number (512) 522-9811.

The enumeration date for this NPI number is 11/13/2020 and was last updated on 11/13/2020.

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	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1801298344	OTHER		NPI 1

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: 5/5/2024

NPI Synchronization or Removal

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