Bodhi Trail Wellness, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

56573 Issued in TX

Legal business name

BODHI TRAIL WELLNESS, PLLC

Practice address

19240 Redland Rd Ste 235
San Antonio, TX 78259-3340

Phone

(210) 417-3015

NPI assigned

Oct 2, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rachel Sarah Luna, LCSWNPI 1598186652

Title

Owner

Phone

(210) 417-3015

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Sarah Luna, LCSW

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1598186652
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1992215123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19240 REDLAND RD STE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593340",
            "telephone_number": "210-417-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19240 REDLAND RD STE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593340",
            "telephone_number": "210-417-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI TRAIL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-417-3015",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "56573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avinash Boddapati, MD
• Megan Bode
• William E Bode, M.D.
• Lisa J. Boden Felchle, PSYD
• Cheryl D Bodenhamer, OT
• Angela Bodnar
• Nehemiah Ruen Calpo Bodoraya
• Richard Allen Body Jr., RBT
• Kirstin Boe
• Tammie Sue Boeger, APRN, BC

• Community/Behavioral Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.