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Organization
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Active
Organization
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Active
Parent organization
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Other names
HerSpace Mental Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWINKLE PEDS PSYCH MEDICAL GROUP PA
Authorized official
NNENNA AWAGU (ADMINISTRATOR)
(210) 797-7181
Entity
Organization
Contact information
Practice address
7666 BANDERA RD, SAN ANTONIO, TX 78238-1262
(210) 686-6318
Mailing address
1624 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1929
(210) 934-5983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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