MEDICARE: MIND,BODY & SOUL, INC.

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
1	251S00000X	Community/Behavioral Health Agency	10715	TX

General Provider Information

NPI Number	:	1437515848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND,BODY & SOUL, INC.

Provider Business Mailing Address
First Line	:	6039 LAKEVIEW DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1689
Country	:	US
Telephone Number	:	210-551-8244
Fax Number	:	210-263-9765

Provider Business Practice Location Address
First Line	:	6039 LAKEVIEW DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-1689
Country	:	US
Telephone Number	:	210-551-8244
Fax Number	:	210-263-9765

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MR. ALBERT BRYAN
Credential	:	MSW/LCDC
Telephone Number	:	210-551-8244

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	01/14/2016

Similar Medicare Providers

1730223785 — MR. TY M. TAYLOR LSA,CSA,SA-C
Practice Location Address:

2915 W BITTERS RD
SAN ANTONIO, TX
78248-1689

Practice Phone: 816-522-7899
Practice Fax:

1699042879 — SHARON DENISE ROSS NP
Practice Location Address:

21 SPURS LN STE 245
SAN ANTONIO, TX
78240-1689

Practice Phone: 210-487-7463
Practice Fax: 210-487-7468

1215370077 — MARIA GERALDINE ZUNIGA MANRIQUE M.D.
Practice Location Address:

21 SPURS LN STE 245
SAN ANTONIO, TX
78240-1689

Practice Phone: 210-547-1550
Practice Fax: 210-615-6814

1720486509 — ELIHU WATTS OPA-C, CSFA
Practice Location Address:

21 SPURS LN STE 245
SAN ANTONIO, TX
78240-1689

Practice Phone: 210-487-7468
Practice Fax:

1669972659 — DOMINION FAMILY HEALTHCARE PLLC
Practice Location Address:

23119 W INTERSTATE 10 BLDG 9
SAN ANTONIO, TX
78257-1689

Practice Phone: 210-944-8855
Practice Fax: 210-538-5047

1841768702 — ONTO TREATMENT CENTER
Practice Location Address:

23103 IH 10 W STE 105
SAN ANTONIO, TX
78257-1689

Practice Phone: 210-614-4805
Practice Fax: 210-614-4009

Directions to “MIND,BODY & SOUL, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.