| Elysium Behavioral Health, Pllc | |
|
7254 Blanco Rd Ste 204 San Antonio TX 78216-4930 | |
| (210) 862-4956 | |
| (210) 941-0884 |
| Full Name | Elysium Behavioral Health, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7254 Blanco Rd Ste 204, San Antonio, Texas |
| Authorized Official Name and Position | Corrina Herrera (OWNER) |
| Authorized Official Contact | 2108624956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysium Behavioral Health, Pllc 4081 De Zavala Rd Ste 102 Shavano Park TX 78249-2083 Ph: (210) 862-4956 | Elysium Behavioral Health, Pllc 7254 Blanco Rd Ste 204 San Antonio TX 78216-4930 Ph: (210) 862-4956 |
| NPI Number | 1013570969 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013570969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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