MEDICARE: INTO THE ROOTS THERAPY, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720784903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTO THE ROOTS THERAPY, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 782068
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78278-2068
Country	:	US
Telephone Number	:	210-580-4149
Fax Number	:	325-267-7774

Provider Business Practice Location Address
First Line	:	8000 WEST AVE STE 2
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1837
Country	:	US
Telephone Number	:	210-580-4149
Fax Number	:	325-267-7774

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	PHI-LONG LE
Credential	:	LPC
Telephone Number	:	512-366-0178

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	10/06/2025

Similar Medicare Providers

1174472393 — MANUEL RAY LASTRA-CRUZ
Practice Location Address:

8000 WEST AVE STE 1
SAN ANTONIO, TX
78213-1837

Practice Phone: 210-580-4149
Practice Fax:

1932445863 — HOMERO CASTILLO
Practice Location Address:

8000 WEST AVE # I-10
SAN ANTONIO, TX
78213-1837

Practice Phone: 210-525-7929
Practice Fax:

1669078184 — MARIA CANO
Practice Location Address:

8000 WEST AVE STE 1
SAN ANTONIO, TX
78213-1837

Practice Phone: 713-686-9194
Practice Fax:

1386370682 — CATARINA DOMINGUEZ
Practice Location Address:

8000 WEST AVE STE 1
SAN ANTONIO, TX
78213-1837

Practice Phone: 713-686-9194
Practice Fax: 713-686-9413

1144932989 — PHI-LONG LE MA, NCC, LPC
Practice Location Address:

8000 WEST AVE STE 2
SAN ANTONIO, TX
78213-1837

Practice Phone: 210-580-4149
Practice Fax: 325-267-7774

1144053711 — ANGELA MICHELLE CASTILLO MA, LPC
Practice Location Address:

8000 WEST AVE STE 2
SAN ANTONIO, TX
78213-1837

Practice Phone: 210-580-4149
Practice Fax:

Directions to “INTO THE ROOTS THERAPY, PLLC ” 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.