THE VINE WELLNESS GROUP, LLC (NPI# 1316570971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316570971 |
| Entity Type | Organization |
| Organization Name | THE VINE WELLNESS GROUP, LLC |
| Practice Address |
14802 Jones Maltsberger Rd Ste 1101 San Antonio TX 78247-3571 |
| Practice Telephone | 2104904419 |
| Practice Fax Number | 2105192758 |
| Mailing Fax Number | 2105192758 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CELESTE INMAN (CO-OWNER) |
| Authorized Official Telephone | 2106022203 |
| Authorized Official Credential | LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
14802 JONES MALTSBERGER RD STE 1101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-3571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710485412 | Leah Kara Trlicek | Massage Therapist | 14802 Jones Maltsberger Rd Ste 1101, San Antonio, TX 78247-3761 | 2018-01-28 |
| 1124671946 | Ana Gabriela Gaitan | Massage Therapist | 14802 Jones Maltsberger Rd Ste 1101, San Antonio, TX 78247-3571 | 2019-07-21 |
| 1922563451 | Daniel R Tippit | Massage Therapist | 14802 Jones Maltsberger Rd Ste 1101, San Antonio, TX 78247-3571 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011047 | Concentric Counseling and Coaching, Pllc | Counselor | 7113 San Pedro Ave # 493, San Antonio, TX 78216-6219 | 2020-10-21 |
| 1609473685 | Juliana Guadamuz | Counselor | 5919 Cliff Valley Dr, San Antonio, TX 78250-3921 | 2020-10-03 |
| 1639786635 | Lara Durand Stern | Counselor | 1153 Mesa Blanca, San Antonio, TX 78248-2613 | 2020-09-24 |
| 1326651290 | Olga M Luquis | Counselor | 10471 Tippecanoe, San Antonio, TX 78245-3131 | 2020-08-28 |
| 1447869094 | Sofia Andrea De La Garza | Counselor | 5811 Ben Casey Dr, San Antonio, TX 78240-3418 | 2020-07-29 |
| 1285242131 | Robert Edward Williamson | Counselor | 9939 Fredericksburg Rd Apt 815, San Antonio, TX 78240-4153 | 2020-07-16 |
| 1972121085 | Charles Jones | Counselor | 6018 Upland Vw, San Antonio, TX 78244-1752 | 2020-07-07 |
| 1013535152 | Glynis Fresia | Counselor | 23007 Casey Cyn, San Antonio, TX 78255-1051 | 2020-07-06 |
| 1235753161 | Tiffany Bridgers | Counselor | 6320 Village Arbor, San Antonio, TX 78250-5752 | 2020-06-06 |
| 1972127983 | Diana Sue Rangel-duncan | Counselor | 3234 Morning Crk, San Antonio, TX 78247-3326 | 2020-06-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
Please comment or provide details below to improve the information on THE VINE WELLNESS GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.