# 210 PSYCHIATRY & PSYCHOTHERAPY, PLLC

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

## Provider details

- **NPI number:** 1730791088
- **Authorized official:** MR. SEAN IRELAND HUCKLEBERRY APRN-BC (OWNER/PSYCHIATRIC NURSE PRACTITIONE)
- **Authorized official phone:** (210) 796-2839

## Contact information

- **Practice address:** 14800 SAN PEDRO AVE STE 110, SAN ANTONIO, TX 78232-3734
- **Practice address phone:** (210) 490-9850
- **Practice address fax:** (210) 796-2839
- **Mailing address:** 17281 INTERSTATE 35 S, ATASCOSA, TX 78002-5525
- **Mailing address phone:** (210) 843-0434
- **Mailing address fax:** (210) 893-2342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 08/09/2021