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Organization
PERSONAL TRANSFORMATION WELLNESS GROUP, INC.
Active
Organization
PERSONAL TRANSFORMATION WELLNESS GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES AGUILAR-LANDIN MS, LPC, LMFT (CLINICAL DIRECTOR)
(210) 495-0675
Entity
Organization
Contact information
Practice address
510 MED COURT,, STE. #106, SAN ANTONIO, TX 78258-4203
(210) 495-0675
(210) 495-0884
Mailing address
P.O. BOX 591337, SAN ANTONIO, TX 78259-0116
(210) 495-0675
(210) 495-0884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/23/2010
Last updated
09/12/2012
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