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Organization
MIND SIGHT LLC
Active
Organization
MIND SIGHT LLC
Active
Other names
Mind Your Self
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LEE GROVES LCSW (OWNER)
(210) 819-1435
Entity
Organization
Contact information
Practice address
1314 FONTAINE DR, SAN ANTONIO, TX 78219-2515
(210) 819-1435
(210) 503-5867
Mailing address
1314 FONTAINE DR, SAN ANTONIO, TX 78219-2515
(210) 819-1435
(210) 503-5867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60147
LICENSE
TX
Enumeration date
07/06/2015
Last updated
07/06/2015
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