IndividualActive
Nicole Bermejillo
NPI 1417514779 · Professional Counselor · San Antonio, TX
Provider details
- NPI number
- 1417514779
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 77924 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
315 N San Saba Ste 1003
San Antonio, TX 78207-3100
Phone: (210) 261-3100
Fax: (210) 261-1821
Approximate (ZIP-level) locationGet directions
Mailing address
6800 Park Ten Blvd Ste 200s
San Antonio, TX 78213-4293
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.