SEAN HUCKLEBERRY LPC APRN PMHNP-BC NPI 1487001392

NPI Information

NPI: 1487001392
Provider Name: SEAN HUCKLEBERRY, LPC, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
14800 SAN PEDRO AVE STE 110
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 490-9850
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Sean Huckleberry, LPC, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Antonio, TX. Sean Huckleberry, LPC, APRN, PMHNP-BC NPI is 1487001392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14800 SAN PEDRO AVE STE 110
SAN ANTONIO, TX
ZIP 78232-734
Phone: (210) 490-9850
Fax: (210) 893-2342

The NPI 1487001392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1008202	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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