| Functional Rd, Llc | |
|
11107 Wurzbach Rd San Antonio TX 78230-2500 | |
| (210) 920-0669 | |
| (210) 920-6645 |
| Full Name | Functional Rd, Llc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 11107 Wurzbach Rd, San Antonio, Texas |
| Authorized Official Name and Position | Aimee Elizabeth Senior (REGISTERED DIETITIAN) |
| Authorized Official Contact | 2109200669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Rd, Llc 14439 Nw Military Hwy Ste 108 Shavano Park TX 78231-1648 Ph: (210) 920-0669 | Functional Rd, Llc 11107 Wurzbach Rd San Antonio TX 78230-2500 Ph: (210) 920-0669 |
| NPI Number | 1932627312 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 01/20/2026 |
| Certification Date | 01/20/2026 |
| Medicare PECOS PAC ID | 0648514091 |
|---|---|
| Medicare Enrollment ID | O20181212000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932627312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | DT83404 (Texas) | Primary |
| Provider Name | Aimee Elizabeth Senior |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609225333 PECOS PAC ID: 6103160478 Enrollment ID: I20181128001257 |
Accessing Individual Minds, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10223 Vernlyn Dr, San Antonio, TX 78230 Phone: 210-413-3855 | |
Westover Hills Behavioral Therapy Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Wiseman Blvd Ste 204, San Antonio, TX 78251 Phone: 210-521-1600 Fax: 210-521-1626 | |
Training Solutions And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Mabry, Suite 100, San Antonio, TX 78226 Phone: 210-922-1274 Fax: 210-932-9891 | |
B. Peyton Delaney, M. D. P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4499 Medical Dr Ste 122, San Antonio, TX 78229 Phone: 210-616-0665 Fax: 210-616-0932 | |
South Texas Neuropsychological Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231 Phone: 210-614-3011 Fax: 210-615-6906 | |
Hillary Marvin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Ivywood Dr, San Antonio, TX 78249 Phone: 281-467-4917 | |
Third Space Counseling And Consultation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Pantheon Way Suite 245, San Antonio, TX 78232 Phone: 210-602-9499 |