Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mip Sa LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1568265205

Mip Sa LLC is an Adolescent and Children Mental Health Clinic/Center in San Antonio, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

901 NE Loop 410 # 405
San Antonio, TX 78209-1305
Phone: (210) 926-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1568265205
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMip Svc LLC
Authorized official Dina Kushaliyeva — Director · (214) 802-0224
NPI enumeratedMarch 28, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateMarch 28, 2025
Mailing address901 Ne Loop 410 # 405, San Antonio, TX 78209-1305

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