Active NPI
Selah Life Therapy
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1881422657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SELAH LIFE THERAPY
- Practice address
- 84 NE Loop 410 Ste 136
San Antonio, TX 78216-5802 - Phone
- (726) 202-8450
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marchele Lott, LMFT
- Title
- Owner
- Phone
- (210) 315-6869
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
84 NE Loop 410 Ste 136
San Antonio, TX 78216-5802
Mailing address
PO Box 793
Cibolo, TX 78108-0793
National Provider Directory
National Provider DirectoryLocations
84 NE Loop 410
Ste 136
San Antonio, TX 78216
Phone (210) 315-6869
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1881422657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 793",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781080793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 NE LOOP 410 STE 136",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165802",
"telephone_number": "726-202-8450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELAH LIFE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "LOTT",
"authorized_official_first_name": "MARCHELE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-315-6869",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.