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Organization
MD WELLNESS PLLC
Active
Organization
MD WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM DAVIS LPC-S, LCDC (LICENSED PROFESSIONAL COUNSELOR)
(703) 254-8251
Entity
Organization
Contact information
Practice address
25721 TWO SPGS, SAN ANTONIO, TX 78255-4412
(703) 254-8251
Mailing address
25721 TWO SPGS, SAN ANTONIO, TX 78255-4412
(703) 254-8251
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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