Organization
ELAINE'S TRIO GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TU'SHEILA E. STEWART LCDC (OWNER)
(210) 446-8797
Entity
Organization
Contact information
Practice address
512 BOWIE, UNIVERSAL CITY, TX 78148-4407
(210) 446-8797
Mailing address
133 WILLOW VW, CIBOLO, TX 78108-2261
(210) 446-8797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
12/02/2015
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