# WELL THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164145736
- **Authorized official:** TOMOKO IIMURA (OWNER)
- **Authorized official phone:** (805) 697-4661

## Contact information

- **Practice address:** 1100 NORTHWEST LOOP 410 SUITE 700, SAN ANTONIO, TX 78213
- **Practice address phone:** (805) 697-4661
- **Mailing address:** PO BOX 90632, SAN ANTONIO, TX 78209-9088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2022
- **Last updated:** 09/20/2022