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General NPI Number Information
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NPI Number | 1306540315
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Entity Type | Organization
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Legal Business Name | IN SEASONS EXPRESSIVE ARTS AND WELLNESS
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 4606 CENTERVIEW
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1214
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Country | US
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Telephone | 210-598-6412
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Fax |
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Provider Business Mailing Address
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Address Line | 223 HIGHWAY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78219-4007
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Country | US
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Telephone | 210-598-6412
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WHITNEY CISNEROS
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Credential |
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Telephone | 210-598-6412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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