Life Fulfillment and Wellness LLC
NPI 1619540077 · Mental Health Counselor · San Antonio, TX
Life Fulfillment and Wellness LLC is a Mental Health Counselor organization in San Antonio, TX (NPI 1619540077).
Provider details
- NPI number
- 1619540077
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Imelda Reveron, Ceo/Administrator(210) 600-4117
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-22
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Frequently asked questions
- What is Life Fulfillment and Wellness LLC's NPI number?
- Life Fulfillment and Wellness LLC's National Provider Identifier (NPI) is 1619540077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Fulfillment and Wellness LLC?
- Life Fulfillment and Wellness LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Life Fulfillment and Wellness LLC located?
- Life Fulfillment and Wellness LLC's practice location on file with NPPES is 4335 W Piedras Dr Ste 103, San Antonio, TX 78228-1215.
- What is Life Fulfillment and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Fulfillment and Wellness LLC is (210) 600-4117.
- Who is the authorized official for Life Fulfillment and Wellness LLC?
- The authorized official listed on Life Fulfillment and Wellness LLC's NPPES record is Imelda Reveron, Ceo/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Fulfillment and Wellness LLC's NPI active?
- Yes — Life Fulfillment and Wellness LLC's NPI (1619540077) is active in the NPPES registry as of the last update on 2021-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.