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

Mallory Marie Bustos

Individual provider Professional Counselor · NPI 1912797630

Mallory Marie Bustos is a Professional Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1226 Stable Glen Dr
San Antonio, TX 78245-2969
Phone: (210) 317-9624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 92415 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH27163 (FL)

Record details

NPI number1912797630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Other providers in San Antonio