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Organization
MOLLICARE LLC
Active
Organization
MOLLICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LINDA LEWIS LPC (OWNER)
(210) 724-0652
Entity
Organization
Contact information
Practice address
7310 BLANCO RD, SAN ANTONIO, TX 78216-4969
(210) 724-0652
(210) 783-1475
Mailing address
7310 BLANCO RD, SAN ANTONIO, TX 78216-4969
(210) 724-0652
(210) 783-1475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407299301
—
TX
Enumeration date
06/23/2020
Last updated
06/23/2020
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