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Organization
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Active
Organization
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Active
Other names
HerSpace Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NNENNA AWAGU (OPERATIONS ADMINISTRATOR)
(210) 686-6318
Entity
Organization
Contact information
Practice address
7666 BANDERA RD, SAN ANTONIO, TX 78238-1262
(210) 686-6318
(888) 730-7347
Mailing address
7666 BANDERA RD, SAN ANTONIO, TX 78238-1262
(210) 686-6318
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/22/2025
Last updated
10/13/2026
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