Healthcare Provider Details

I. General information

NPI: 1760155485
Provider Name (Legal Business Name): THE SYNERGY STUDIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 07/28/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N ALAMO ST # 2
SAN ANTONIO TX
78215-1812
US

IV. Provider business mailing address

701 N ALAMO ST # 2
SAN ANTONIO TX
78215-1812
US

V. Phone/Fax

Practice location:
  • Phone: 210-824-4225
  • Fax:
Mailing address:
  • Phone: 210-824-4225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MS. ADELLE BROWNLEE BREWER
Title or Position: OWNER, CEO
Credential:
Phone: 210-872-0751