Organization
WELLOVATION PLLC
Active
Parent organization
WELLOVATION PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLOVATION PLLC
Authorized official
JOHN AMUNDSON (OWNER)
(210) 792-1943
Entity
Organization
Contact information
Practice address
2101 LOCKHILL SELMA RD STE 210, SAN ANTONIO, TX 78213-1409
(210) 792-1943
Mailing address
10538 LEGACY CV, SAN ANTONIO, TX 78240-4475
(210) 792-1943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76536
PSYCHOLOGY, COUNSELOR, PSYCHIATRY
—
Enumeration date
10/16/2020
Last updated
03/11/2025
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