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Organization

DESTA THERAPY, LLC

Active
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Organization

DESTA THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES GROSS (CO-FOUNDER/MANAGING PARTNER)
(210) 417-9272
Entity
Organization

Contact information

Practice address
16607 BLANCO RD STE 12103, SAN ANTONIO, TX 78232-1961
(210) 417-9272
Mailing address
405 EL PORTAL DR, SAN ANTONIO, TX 78232-2003
(210) 417-9272

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/26/2024
Last updated
07/07/2026
About Stedi
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  • EDI platform