MEDICARE: INNRG WELLNESS 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1558234138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNRG WELLNESS PLLC

Provider Business Mailing Address
First Line	:	16200 ROUGH OAK ST APT 2013
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1861
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16200 ROUGH OAK ST APT 2013
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1861
Country	:	US
Telephone Number	:	830-463-2994
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REL CHARNELLE ROBINSON
Credential	:	LPC
Telephone Number	:	830-463-2994

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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