Organization
MINDSCAPES BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY GONYER LPC, NCC, BCBA (FOUNDER)
(210) 541-2860
Entity
Organization
Contact information
Practice address
23910 W IH 10 APT 9205, SAN ANTONIO, TX 78257-1418
(210) 541-2860
Mailing address
101 PINE VIEW DR, BOERNE, TX 78006-8842
(830) 816-5510
(855) 421-1717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
71038
TX
103K00000X
Behavior Analyst
Primary
1-15-18128
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/29/2018
Last updated
11/29/2022
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