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Organization

CONSULTING BY MICHELLE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE TUBILLA LPC (OWNER)
(210) 535-9793
Entity
Organization

Contact information

Practice address
18965 FM 2252 STE 207, GARDEN RIDGE, TX 78266-2700
(210) 535-9793
Mailing address
2502 BRIGHTON OAKS, SAN ANTONIO, TX 78231-2251
(210) 535-9793

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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