Healthcare Provider Details

I. General information

NPI: 1144609827
Provider Name (Legal Business Name): TMH TOTAL MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8626 TESORO DR STE 490
SAN ANTONIO TX
78217-6217
US

IV. Provider business mailing address

8626 TESORO DR STE 490
SAN ANTONIO TX
78217-6217
US

V. Phone/Fax

Practice location:
  • Phone: 210-202-0100
  • Fax: 210-579-9705
Mailing address:
  • Phone: 210-202-0100
  • Fax: 210-579-9705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number36950
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TERESA LEE MEAD
Title or Position: MANAGING MEMBER
Credential:
Phone: 210-202-0100