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PERSONAL TRANSFORMATION WELLNESS GROUP INC. NPI 1184926263


NPI Information

NPI: 1184926263
Provider Name: PERSONAL TRANSFORMATION WELLNESS GROUP, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 45D2276618

Address:
510 MED COURT,
STE. #106
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 495-0675
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PERSONAL TRANSFORMATION WELLNESS GROUP, INC. is a professional counselor in San Antonio, TX. PERSONAL TRANSFORMATION WELLNESS GROUP, INC. NPI is 1184926263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

510 MED COURT,
STE. #106
SAN ANTONIO, TX
ZIP 78258-203
Phone: (210) 495-0675
Fax: (210) 495-0884

The provider's authorized official is Lourdes Aguilar-landin .
The authorized official title is Clinical Director and has the following contact phone number (210) 495-0675.

The CLIA number assigned to this NPI record is 45D2276618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 9/12/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3101YP2500XCounselorProfessionalYes

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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