OrganizationActive
Legacy Psychological Services, PLLC
NPI 1205505674 · Adolescent and Children Mental Health Clinic/Center · San Antonio, TX
Provider details
- NPI number
- 1205505674
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lara Conrad-Shearburn, Licensed Psychologist(210) 819-5941
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1919 Oakwell Farms Pkwy Ste 138
San Antonio, TX 78218-1725
Phone: (210) 819-5941
Approximate (ZIP-level) locationGet directions
Mailing address
1919 Oakwell Farms Pkwy Ste 138
San Antonio, TX 78218-1725
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.