DAVIS PSYCHOLOGICAL HEALTH & WELLNESS PRACTICE, PLLC


Address: 1100 Nw Loop 410, Ste 700, San Antonio, TX 78213-2263
Phone: 2102414954

DAVIS PSYCHOLOGICAL HEALTH & WELLNESS PRACTICE, PLLC (NPI# 1578977468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578977468
Entity Type Organization
Organization Name DAVIS PSYCHOLOGICAL HEALTH & WELLNESS PRACTICE, PLLC
Practice Address 1100 Nw Loop 410
Ste 700
San Antonio
TX 78213-2263
Mailing Address 11703 Huebner Rd
Ste 106-147
San Antonio
TX 78230-1201
Practice Telephone 2102414954
Practice Fax Number 2109571628
Mailing Telephone 2102414954
Mailing Fax Number 2109571628
Enumeration Date 2014-06-18
Last Update Date 2014-06-18
Authorized Official Name DR. REGINA G. DAVIS (OWNER/LICENSED PSYCHOLOGIST)
Authorized Official Telephone 2102414954
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 34154 TX Agencies
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
34154 TX Ambulatory Health Care Facilities

Office Location

Street Address 1100 NW LOOP 410
STE 700
City SAN ANTONIO
State TX
Zip Code 78213-2263

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1396115119 Timothy Collingham Marriage & Family Therapist 1100 Nw Loop 410, Suite 201, San Antonio, TX 78213-2263 2015-10-06
1902223746 Ashley R Enriquez Marriage & Family Therapist 1100 Nw Loop 410, Suite 201, San Antonio, TX 78213-2263 2014-03-18
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1275845109 Laura Bryan Marriage & Family Therapist 1100 Nw Loop 410, Suite 860, San Antonio, TX 78213-2263 2010-07-08
1326374836 Regina G. Davis Psychologist 1100 Nw Loop 410, Ste 700, San Antonio, TX 78213-2263 2009-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679198311 Suzanne Danial Behavior Technician Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 2020-06-09
1497314991 Martha Walch, Phd. Psychologist 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 2019-06-08
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1104285022 West Avenue Dental Partners Pllc Dentist 4812 West Avenue, Suite 101, San Antonio, TX 78213 2016-02-19
1568829570 Stephanie Motes Counselor 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 2016-01-21
1508236506 Pediatric Home Healthcare, LLC Home Health 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 2015-10-02
1457775439 Larry Roberto Dela Cruz Specialist/Technologist, Other 218 Mackey Drive, San Antonio, TX 78213 2014-02-11
1437424306 Kellie Miller Nurse Practitioner 2211 Nw Military Highway, 207, Castle Hills, TX 78213 2012-03-12
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1154866945 Bariatric Counseling Center of San Antonio, LLC Clinic/Center 9618 Huebner Rd Ste 320, San Antonio, TX 78240-1777 2017-01-03
1508257346 Christina Wei,phd,rn,pmhnp-bc,pllc Clinic/Center 4242 Woodcock Dr Ste 201, San Antonio, TX 78228-1325 2015-02-16
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1346433398 United Black and Brown Clinic/Center 648 Delmar St, San Antonio, TX 78210-2466 2007-08-23
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1982753448 Our Lady of The Lake University Clinic/Center 590 N General Mcmullen Dr, 3, San Antonio, TX 78228-6205 2007-01-10
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Competitor

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City SAN ANTONIO
Zip Code 78213

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Dataset Information

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.

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