MEDICARE: KELSEY MEAGAN TOVAR M.S.

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	101YP2500X	Professional Counselor	90194	TX

General Provider Information

NPI Number	:	1740048446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY MEAGAN TOVAR M.S.

Provider Business Mailing Address
First Line	:	8523 SHAENFIELD PL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-9553
Country	:	US
Telephone Number	:	512-710-8709
Fax Number	:

Provider Business Practice Location Address
First Line	:	15827 TAMPKE PL
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-5914
Country	:	US
Telephone Number	:	512-710-8709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	01/14/2026

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