Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mission Trail Mental Health Clinic PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1780596304

Mission Trail Mental Health Clinic PLLC provides Psychiatric/Mental Health Nurse Practitioner services in San Antonio, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 N Saint Marys St Ste 1400
San Antonio, TX 78205-3535
Phone: (913) 963-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1780596304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collins Izimba — Medical Director · (913) 963-6059
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 17, 2026
Mailing address700 N Saint Marys St Ste 1400, San Antonio, TX 78205-3535

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