# ENGEDI THERAPY SERVICES, PLLC

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

## Provider details

- **NPI number:** 1609389626
- **Authorized official:** LAWANDA MARTIN LPC (OWNER)
- **Authorized official phone:** (757) 867-5811

## Contact information

- **Practice address:** 401 E SONTERRA BLVD STE 375, SAN ANTONIO, TX 78258-4321
- **Practice address phone:** (757) 867-5811
- **Practice address fax:** (757) 384-1581
- **Mailing address:** 401 E SONTERRA BLVD STE 375, SAN ANTONIO, TX 78258-4321
- **Mailing address phone:** (757) 867-5811
- **Mailing address fax:** (757) 384-1581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 0701006966 | VA | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 03/14/2023