# 11 11 MISSION BEHAVIORAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mission Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255069878
- **Authorized official:** CARLA SIKKEMA (OWNER)
- **Authorized official phone:** (210) 722-1549

## Contact information

- **Practice address:** 117 DILWORTH PLAZA, POTH, TX 78147
- **Practice address phone:** (830) 582-8778
- **Mailing address:** 923 10TH ST STE 123, FLORESVILLE, TX 78114-1870
- **Mailing address phone:** (830) 582-8778

## 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:** 08/11/2022
- **Last updated:** 08/11/2022