Provider Demographics
NPI:1265108294
Name:CONSULTING BY MICHELLE, PLLC
Entity type:Organization
Organization Name:CONSULTING BY MICHELLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-535-9793
Mailing Address - Street 1:2502 BRIGHTON OAKS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-2251
Mailing Address - Country:US
Mailing Address - Phone:210-535-9793
Mailing Address - Fax:
Practice Address - Street 1:18965 FM 2252 STE 207
Practice Address - Street 2:
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2700
Practice Address - Country:US
Practice Address - Phone:210-535-9793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health