Organization
SAGE PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K. BYXBE LCSW (OWNER)
(830) 703-9696
Entity
Organization
Contact information
Practice address
102 FLETCHER DR, SUITE C, DEL RIO, TX 78840-3060
(830) 703-9696
Mailing address
102 FLETCHER DR, SUITE C, DEL RIO, TX 78840-3060
(830) 703-9696
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40457
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851412
—
TX
01
—
1962474577
BCBS
—
Enumeration date
10/05/2008
Last updated
10/05/2008
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