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NPI Code Detail

MEDICARE: OPEN TO HEALING INCORPORATED

MEDICARE: OPEN TO HEALING INCORPORATED
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1871148122
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN TO HEALING INCORPORATED
Provider Business Mailing Address
First Line : 15106 OAK LOFT ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-4617
Country : US
Telephone Number : 210-309-2006
Fax Number : 210-598-0468
Provider Business Practice Location Address
First Line : 18756 STONE OAK PKWY STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4354
Country : US
Telephone Number : 210-309-2006
Fax Number : 210-598-0468
Authorized Official
Title or Position : LPC/CEO
Name : NOLAN MARTINEZ
Credential : LPC
Telephone Number : 210-309-2006
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/05/2019

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Directions to “OPEN TO HEALING INCORPORATED ” Practice Location

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