Provider Demographics
NPI:1639760861
Name:MORNINGSTAR COUNSELING AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:MORNINGSTAR COUNSELING AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:WYMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-360-0732
Mailing Address - Street 1:103 MUNCEY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-2319
Mailing Address - Country:US
Mailing Address - Phone:210-360-0732
Mailing Address - Fax:
Practice Address - Street 1:103 MUNCEY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2319
Practice Address - Country:US
Practice Address - Phone:210-360-0732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-31
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty