Organization
MINDFUL ROOTS WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA N PASQUALE (PMHNP)
(210) 840-1909
Entity
Organization
Contact information
Practice address
414 WILLOW GROVE DR, SAN ANTONIO, TX 78245-2775
(210) 849-1909
(210) 893-2345
Mailing address
414 WILLOW GROVE DR, SAN ANTONIO, TX 78245-2775
(210) 849-1909
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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