# PROCARE WELLNESS, LLC

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

## Provider details

- **NPI number:** 1417588351
- **Authorized official:** JYOTI KC NP (NURSE PRACTITIONER)
- **Authorized official phone:** (210) 551-8830

## Contact information

- **Practice address:** 8601 VILLAGE DR STE 100, SAN ANTONIO, TX 78217-5509
- **Practice address phone:** (210) 551-8830
- **Mailing address:** PO BOX 691463, SAN ANTONIO, TX 78269-1463
- **Mailing address phone:** (210) 551-8830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 02/22/2025