Organization
BODHI TRAIL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL SARAH LUNA LCSW (OWNER)
(210) 417-3015
Entity
Organization
Contact information
Practice address
19240 REDLAND RD STE 235, SAN ANTONIO, TX 78259-3340
(210) 417-3015
Mailing address
19240 REDLAND RD STE 235, SAN ANTONIO, TX 78259-3340
(210) 417-3015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
56573
TX
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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