# MINDFUL ROOTS WELLNESS PLLC

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

## Provider details

- **NPI number:** 1164371159
- **Authorized official:** KRISTA N PASQUALE (PMHNP)
- **Authorized official phone:** (210) 840-1909

## Contact information

- **Practice address:** 414 WILLOW GROVE DR, SAN ANTONIO, TX 78245-2775
- **Practice address phone:** (210) 849-1909
- **Practice address fax:** (210) 893-2345
- **Mailing address:** 414 WILLOW GROVE DR, SAN ANTONIO, TX 78245-2775
- **Mailing address phone:** (210) 849-1909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2026
- **Last updated:** 01/23/2026