CONCEIVABLE RESOLUTIONS PLLC (NPI# 1407349137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407349137 |
| Entity Type | Organization |
| Organization Name | CONCEIVABLE RESOLUTIONS PLLC |
| Practice Address |
212 Chestnut St Ste 2 San Antonio TX 78202-2720 |
| Practice Telephone | 2102881835 |
| Practice Fax Number | 2109329891 |
| Mailing Telephone | 2102881835 |
| Mailing Fax Number | 2109329891 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | MR. KENNETH EDWARD GOODRUM (LPC) |
| Authorized Official Telephone | 2102881835 |
| Authorized Official Credential | LPC, LCDC, CART |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
212 CHESTNUT ST STE 2 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78202-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902019169 | Kenneth Williams Dpm | Podiatrist | 1954 E Houston, Ste 202, San Antonio, TX 78202 | 2007-05-07 |
| 1821115122 | H-e-b, Lp | Pharmacy | 415 N New Braunfels, San Antonio, TX 78202 | 2007-03-23 |
| 1215418520 | Nicholas James Dahlin | Physical Therapy Assistant | 921 Nolan St, San Antonio, TX 78202 | 2018-08-24 |
| 1760022081 | Amanda Rae Reyes | Social Worker | 239 N Center St Unit 404, San Antonio, TX 78202-0007 | 2020-01-14 |
| 1023294840 | Ella Austin Community Center | Clinic/Center | 1023 N Pine St, San Antonio, TX 78202-1203 | 2008-01-10 |
| 1760636500 | Rejuvenating Adult Day Care | Day Training, Developmentally Disabled Services | 1023 N Pine St, Bldg 4, San Antonio, TX 78202-1203 | 2008-11-06 |
| 1457675068 | Lisa Marie Cleveland | Nurse Practitioner | 618 Live Oak, San Antonio, TX 78202-1932 | 2010-03-25 |
| 1740517143 | Arlena Clarice Smith | Respite Care | 924 Saint James, San Antonio, TX 78202-2012 | 2009-11-06 |
| 1154495182 | El Centro Del Barrio, Inc. | Clinic/Center | 204 Nolan, San Antonio, TX 78202-2153 | 2006-11-20 |
| 1811141062 | Olivia Gonzales | Social Worker | 204 Nolan, San Antonio, TX 78202-2153 | 2008-11-13 |
| Find all providers in zip 78202 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1790260222 | Breathe-respira | Clinic/Center | 16607 Blanco Rd Ste 1001, San Antonio, TX 78232-1964 | 2018-10-01 |
| 1912405242 | Derek H Elder Lpc Pllc | Clinic/Center | 16607 Blanco Rd Ste 502, San Antonio, TX 78232-1910 | 2018-02-01 |
| 1194240275 | The San Antonio Clubhouse, Inc. | Clinic/Center | 6851 Citizens Pkwy Ste 100, San Antonio, TX 78229-3602 | 2017-08-09 |
| 1588185821 | Usawa Wellness Services, Pllc | Clinic/Center | 305 E Ramsey Rd, San Antonio, TX 78216-4636 | 2017-06-27 |
| 1447418702 | Regina Good Home Assisted Living | Clinic/Center | 410 Regina St, Apt 1, San Antonio, TX 78223-1119 | 2008-05-23 |
| 1437215019 | Daniel C Walker Lpc | Clinic/Center | 12022 Blue Wing Rd, San Antonio, TX 78223-5505 | 2006-12-28 |
| 1760099410 | Shawna M Deeves Md Pllc | Clinic/Center | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-09-28 |
| 1134758261 | Attain Mental Wellness Pllc | Clinic/Center | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-04-01 |
| 1114557014 | Nehemiah Reentry Collaborative | Clinic/Center | 2803 E Commerce St, San Antonio, TX 78203-2201 | 2020-01-19 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78202 |
Please comment or provide details below to improve the information on CONCEIVABLE RESOLUTIONS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.