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Organization
ELYSIUM BEHAVIORAL HEALTH, PLLC
Active
Organization
ELYSIUM BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRINA HERRERA LPC (OWNER)
(210) 862-4956
Entity
Organization
Contact information
Practice address
7254 BLANCO RD STE 204, SAN ANTONIO, TX 78216-4930
(210) 862-4956
(210) 941-0884
Mailing address
4081 DE ZAVALA RD STE 102, SHAVANO PARK, TX 78249-2083
(210) 862-4956
(210) 941-0884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
10/22/2019
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