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LIFE FULFILLMENT AND WELLNESS LLC
NPI 1619540077
Counselor - Mental Health in San Antonio, TX

Active since July 22, 2021
4335 W PIEDRAS DR STE 103, SAN ANTONIO, TX 78228(210) 600-4117(210) 600-3849 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Fulfillment And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE FULFILLMENT AND WELLNESS LLC (NPI 1619540077) is a healthcare organization registered as a mental health in San Antonio, Texas and active in the NPI registry since July 2021. The organization lists Imelda Ramirez Reveron, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1619540077
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFE FULFILLMENT AND WELLNESS LLC
Location Address4335 W PIEDRAS DR STE 103San Antonio, TX 78228-1215
Mailing Address21916 Park View DrGarden Ridge, TX 78266-2749 · (210) 844-9985 · Fax (210) 600-3849
Phone(210) 600-4117
Fax(210) 600-3849
Organization SubpartNo
Authorized OfficialImelda Ramirez ReveronCeo/administrator · (210) 600-4117
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1619540077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedFamily MedicineTaxonomy 207Q00000X
4335 W PIEDRAS DR STE 103, San Antonio, TX 78228
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Other Identifiers 1

Medicaid1144893694TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMELDA RAMIREZ REVERON MA, CLINICIAN
Counselor (Mental Health)
4335 W PIEDRAS DR STE 103
SAN ANTONIO, TX 78228
Bexar County (210) 600-4117
ABRIDGED THERAPY PLLC
Counselor (Professional)
4335 W PIEDRAS DR STE 103
SAN ANTONIO, TX 78228
Bexar County (903) 283-7631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Fulfillment And Wellness LLC's NPI number?

The NPI number for Life Fulfillment And Wellness LLC is 1619540077. It was assigned to this organization in the NPPES registry on July 22, 2021.

Where is Life Fulfillment And Wellness LLC located?

Life Fulfillment And Wellness LLC is located at 4335 W Piedras Dr Ste 103, San Antonio, TX 78228. The listed phone number is (210) 600-4117.

What is Life Fulfillment And Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Life Fulfillment And Wellness LLC was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.