Organization
MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC
Active
Organization
MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO RODRIGUEZ LCDC (OWNER)
(210) 788-2762
Entity
Organization
Contact information
Practice address
1747 CITADEL PLZ STE 205, SAN ANTONIO, TX 78209
(210) 467-5395
Mailing address
1747 CITADEL PLZ STE 205, SAN ANTONIO, TX 78209-1017
(210) 467-5395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
101YM0800X
Mental Health Counselor
—
TX
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
03/08/2021
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