Provider Demographics
NPI:1598237950
Name:HILL COUNTRY WELLNESS LLC
Entity Type:Organization
Organization Name:HILL COUNTRY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:GLASS
Authorized Official - Last Name:HAMMILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT, BC-TMH
Authorized Official - Phone:210-416-1621
Mailing Address - Street 1:16607 BLANCO RD STE 502
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1910
Mailing Address - Country:US
Mailing Address - Phone:210-416-1621
Mailing Address - Fax:866-796-0489
Practice Address - Street 1:16607 BLANCO RD STE 502
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1910
Practice Address - Country:US
Practice Address - Phone:210-416-1621
Practice Address - Fax:866-796-0489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty