MEDICARE: INTEGRATUS COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1508705278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATUS COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	4702 CHEDDER DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5026
Country	:	US
Telephone Number	:	210-943-6408
Fax Number	:	210-899-1582

Provider Business Practice Location Address
First Line	:	4702 CHEDDER DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5026
Country	:	US
Telephone Number	:	210-943-6408
Fax Number	:	210-899-1582

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	LUKE AARON MAYEUX
Credential	:	MS, LPC
Telephone Number	:	210-943-6408

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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