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Organization

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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY MARTIN LPC-S (EXECUTIVE DIRECTOR)
(210) 314-1606
Entity
Organization

Contact information

Practice address
603 MAIN ST, SCHERTZ, TX 78154-2146
(210) 314-1606
Mailing address
603 MAIN ST, SCHERTZ, TX 78154-2146
(210) 314-1606

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—

Other

Enumeration date
07/10/2026
Last updated
07/10/2026
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