Organization
210 PSYCHIATRY & PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN IRELAND HUCKLEBERRY APRN-BC (OWNER/PSYCHIATRIC NURSE PRACTITIONE)
(210) 796-2839
Entity
Organization
Contact information
Practice address
14800 SAN PEDRO AVE STE 110, SAN ANTONIO, TX 78232-3734
(210) 490-9850
(210) 796-2839
Mailing address
17281 INTERSTATE 35 S, ATASCOSA, TX 78002-5525
(210) 843-0434
(210) 893-2342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/09/2021
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