Healthcare Provider Details

I. General information

NPI: 1275498370
Provider Name (Legal Business Name): ACERA MENTAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6324 SHADY GRN
SAN ANTONIO TX
78250-5076
US

IV. Provider business mailing address

6324 SHADY GRN
SAN ANTONIO TX
78250-5076
US

V. Phone/Fax

Practice location:
  • Phone: 210-995-8080
  • Fax:
Mailing address:
  • Phone: 210-995-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY DAWN AGUILAR
Title or Position: MANAGING MEMBER
Credential: PMHNP-BC
Phone: 210-995-8080